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Licensing details for: 6224

Name: CORONA DENTAL CENTER, A DENTAL OFFICE OF FREDERICK LEE DENTAL COR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CORONA DENTAL CENTER

Address of Record

1074 W. SIXTH ST., STE. 104
CORONA CA 92882
RIVERSIDE county
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Issuance Date

June 2, 2006

Expiration Date

July 31, 2010

Current Date / Time

June 6, 2025
6:35:20 PM

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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