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Licensing details for: 9903

Name: PACIFICA ORAL & MAXILLOFACIAL SURGERY, DENTAL PRACTICE OF HUNG LE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

408 S. BEACH BOULEVARD #107
ANAHEIM CA 92804-1874
ORANGE county
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Practice Location

408 S. BEACH BOULEVARD #107
ANAHEIM CA 92804
ORANGE county
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Issuance Date

April 19, 2012

Expiration Date

September 30, 2026

Current Date / Time

December 13, 2025
7:53:26 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: LE, HUNG CHI

License/Registration Type: Dentist License

License Number: 54007 Primary Status: Current - Active

Address :
408 S Beach Blvd
107
ANAHEIM CA 92804-1853
ORANGE COUNTY

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