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Licensing details for: 50

Name: LEE, PATRICK WAH

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

2500 ALTON PARKWAY #206
IRVINE CA 92606
ORANGE county
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Practice Location

2500 ALTON PARKWAY #206
IRVINE CA 92606
ORANGE county
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Issuance Date

February 28, 2023

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
6:37:59 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ABC KID'S DENTAL GROUP, PRACTICE OF PATRICK W. LEE DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7086 Primary Status: Current - Active

Address :
2500 ALTON PARKWAY, STE. 206
IRVINE CA 92606
ORANGE COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: LEE, PATRICK WAH

License/Registration Type: Dentist License

License Number: 46094 Primary Status: Current - Active

Address :
2500 Alton Pkwy Ste 206
IRVINE CA 92606-5034
ORANGE COUNTY

Map

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