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Licensing details for: 18404

Name: ESTHETIC PARTNERS DENTAL GROUP, OFFICE OF DR. COLLIN TSAI AND ANDREW LEE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

622 W. DUARTE ROAD SUITE 205
ARCADIA CA 91007-7606
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Practice Location

622 W. DUARTE ROAD SUITE 205
ARCADIA CA 91007-7606
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Issuance Date

February 12, 2024

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
1:56:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TSAI, COLLIN G

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, ANDREW KIN-WAH

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, ANDREW KIN-WAH

License/Registration Type: Dentist License

License Number: 62332 Primary Status: Current - Active

Address :
13221 DESTINO PL
CERRITOS CA 90703
LOS ANGELES 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: TSAI, COLLIN G

License/Registration Type: Dentist License

License Number: 58983 Primary Status: Current - Active

Address :
8247 Whittier Blvd.
8247 Whittier Blvd.
PICO RIVERA CA 90660-2527
LOS ANGELES COUNTY

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