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Licensing details for: 16896

Name: SMILE DENTAL CARE DENTAL PRACTICE OF RICHARD S. YOON, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

331 W. CHANNEL ISLANDS BLVD
PORT HUENEME CA 93041
VENTURA county
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Practice Location

331 W. CHANNEL ISLANDS BLVD
PORT HUENEME CA 93041
VENTURA county
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Issuance Date

November 8, 2021

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
1:41:21 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOON, RICHARD

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: YOON, RICHARD

License/Registration Type: Dentist License

License Number: 52487 Primary Status: Current - Active

Address :
957 Faulkner Rd
#104
SANTA PAULA CA 93060-9124
VENTURA COUNTY

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