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Licensing details for: 18128

Name: CL FAMILY DENTISTRY DENTAL OFFICE OF DRS. KYUNG DUK CHOI AND DIANA LEE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1025 SENTINEL DR. #202
LA VERNE CA 91750-3280
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Practice Location

1025 SENTINEL DR. #202
LA VERNE CA 91750-3280
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Issuance Date

September 29, 2023

Expiration Date

May 31, 2025

Current Date / Time

June 6, 2025
1:49:31 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHOI, KYUNG DUK

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, DIANA C

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: LEE, DIANA C

License/Registration Type: Dentist License

License Number: 58342 Primary Status: Current - Active

Address :
12530 10th St
Suite B
CHINO CA 91710-3520
SAN BERNARDINO 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: CHOI, KYUNG DUK

License/Registration Type: Dentist License

License Number: 58345 Primary Status: Current - Active

Address :
1025 Sentinel Dr
STE 202A
LA VERNE CA 91750-3280
LOS ANGELES COUNTY

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