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Licensing details for: 4606

Name: BAYSIDE DENTAL CARE, DENTAL PRACTICE OF ANNA YOON, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO county
Map

Issuance Date

November 13, 2003

Expiration Date

February 28, 2006

Current Date / Time

June 7, 2025
6:31:48 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOON, ANNA

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: YOON, ANNA

License/Registration Type: Dentist License

License Number: 45218 Primary Status: Cancelled

Address Not Disclosed

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