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Licensing details for: 17796

Name: DENTAL KIDZ CLUB, DENTAL OFFICE OF JH CHUN III DDS INC., GENERAL DENTISTRY

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

23750 ALESSANDRO BLVD STE O102
MORENO VALLEY CA 92553
RIVERSIDE county
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Practice Location

23750 ALESSANDRO BLVD STE O102
MORENO VALLEY CA 92553-8815
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Issuance Date

May 1, 2023

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
11:11:18 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHUN, JIHEE HEEJUNG

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: CHUN, JIHEE HEEJUNG

License/Registration Type: Dentist License

License Number: 52047 Primary Status: Current - Active

Address :
518 W Badillo St
COVINA CA 91722-3762
LOS ANGELES COUNTY

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