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Licensing details for: 4050

Name: DR SHIN'S APPLE VALLEY DENTAL PRACTICE, H J SHIN, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

18145 HWY 18, STE C
APPLE VALLEY CA 92307
SAN BERNARDINO county
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Issuance Date

January 2, 2003

Expiration Date

March 31, 2006

Current Date / Time

June 6, 2025
10:11:24 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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