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Licensing details for: 9027

Name: SMILE DENTAL CENTER, DENTAL GROUP OF AUDREY JUNG-SUN YOON, DDSMS,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SMILE DENTAL CENTER

Address of Record

217 DE ANZA BOULEVARD
SAN MATEO CA 94402
SAN MATEO county
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Practice Location

217 DE ANZA BOULEVARD
SAN MATEO CA 94402
SAN MATEO county
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Issuance Date

November 1, 2010

Expiration Date

December 31, 2013

Current Date / Time

July 16, 2025
5:57:58 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOON, AUDREY JUNG-SUN

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, AUDREY JUNG-SUN

License/Registration Type: Dentist License

License Number: 53114 Primary Status: Current - Active

Address :
3460 WILSHIRE BL #104
LOS ANGELES CA 90010
LOS ANGELES COUNTY

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