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Licensing details for: 16917

Name: SMILEE DENTAL, DENTAL OFFICE OF DR. KIM AND LEE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE county
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Practice Location

9009 KNOTT AVE
BUENA PARK CA 90620
ORANGE county
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Issuance Date

December 13, 2021

Expiration Date

July 31, 2023

Current Date / Time

June 6, 2025
9:52:46 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KIM, DAEUK DAVID

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: KIM, DAEUK DAVID

License/Registration Type: Dentist License

License Number: 102817 Primary Status: Current - Active

Address :
144 Waterfall Ln
BREA CA 92821-4348
ORANGE COUNTY

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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: LEE, LINDA MEE-YOUNG

License/Registration Type: Dentist License

License Number: 101404 Primary Status: Current - Active

Address :
3760 W McFadden Ave
STE D
SANTA ANA CA 92704-1392
ORANGE COUNTY

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