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Licensing details for: 4918

Name: GENTLE DENTAL PERRIS, A DENTAL OFFICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2560 N PERRIS BLVD, STE F-1
PERRIS CA 92570
RIVERSIDE county
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Issuance Date

April 27, 2004

Expiration Date

July 31, 2012

Current Date / Time

June 6, 2025
9:51:55 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, FREDERICK HYUN WOO

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, FREDERICK HYUN WOO

License/Registration Type: Dentist License

License Number: 43359 Primary Status: Current - Active

Address :
4000 W. FLORIDA AVE.
HEMET CA 92545
RIVERSIDE COUNTY

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