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Licensing details for: 2963

Name: DR. SHIN'S DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

17100 Bear Valley Rd Ste N
VICTORVILLE CA 92395-5853
SAN BERNARDINO county
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Issuance Date

November 22, 2000

Expiration Date

March 31, 2022

Current Date / Time

June 6, 2025
10:9:2 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHIN, HYUN JOON

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: SHIN, HYUN JOON

License/Registration Type: Dentist License

License Number: 44361 Primary Status: Current - Active

Address :
25559 CARROL CT
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY

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