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Licensing details for: 9742

Name: BAYSIDE DENTAL PRACTICE CHUNKEUN CHOI, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: BAYSIDE DENTAL PRACTICE

Address of Record

72 PEABODY ROAD
VACAVILLE CA 95687
SOLANO county
Map

Practice Location

72 PEABODY ROAD
VACAVILLE CA 95687
SOLANO county
Map

Issuance Date

February 2, 2012

Expiration Date

December 31, 2019

Current Date / Time

December 13, 2025
9:42:55 AM

License Relationships

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: CHOI, CHUNKEUN

License/Registration Type: Dentist License

License Number: 56902 Primary Status: Current - Active

Address :
72 Peabody Rd
VACAVILLE CA 95687-4727
SOLANO COUNTY

Map

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