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Licensing details for: 18210

Name: TRIPLE S DENTAL DENTAL GROUP OF SOOYEOL SOHN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

230 W BADILLO ST.
COVINA CA 91723
LOS ANGELES county
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Practice Location

230 W BADILLO ST.
COVINA CA 91723
LOS ANGELES county
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Issuance Date

October 26, 2023

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
1:53:50 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SOHN, SOOYEOL

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: SOHN, SOOYEOL

License/Registration Type: Dentist License

License Number: 100896 Primary Status: Current - Active

Address :
230 W Badillo St
COVINA CA 91723-1906
LOS ANGELES COUNTY

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