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Licensing details for: 8024

Name: SOUTHLAND DENTAL GROUP, LIN DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: SOUTHLAND DENTAL

Address of Record

10600 KATELLA AVENUE
ANAHEIM CA 92804
ORANGE county
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Practice Location

10600 KATELLA AVENUE
ANAHEIM CA 92804
ORANGE county
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Issuance Date

March 11, 2009

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
1:54:3 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LIN, JAMES KING

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: LIN, JAMES KING

License/Registration Type: Dentist License

License Number: 35140 Primary Status: Current - Active

Address :
10600 Katella Ave
ANAHEIM CA 92804
ORANGE COUNTY

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