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Licensing details for: 17237

Name: ELITE DENTAL GROUP JOEY CHEN DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE county
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Practice Location

23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE county
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Issuance Date

June 23, 2022

Expiration Date

April 30, 2024

Current Date / Time

December 13, 2025
7:54:52 AM

License Relationships

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: CHEN, JOEY CHOU-YIE

License/Registration Type: Dentist License

License Number: 58286 Primary Status: Current - Active

Address :
23595 Moulton Pkwy
LAGUNA HILLS CA 92653-1939
ORANGE COUNTY

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