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Licensing details for: 16674

Name: DR SHIN'S DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: DR SHIN DENTAL OFFICE

Address of Record

17100 BEAR VALLEY RD, SUITE N
VICTORVILLE CA 92395
SAN BERNARDINO county
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Practice Location

17100 BEAR VALLEY RD, SUITE N
VICTORVILLE CA 92395
SAN BERNARDINO county
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Issuance Date

July 28, 2021

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
10:17:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHIN, HYUN JOON

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SHIN, HYUN JOON

License/Registration Type: Dentist License

License Number: 44361 Primary Status: Current - Active

Address :
25559 CARROL CT
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY

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