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Licensing details for: 101979

Name: CHO, PETER KWAN HYOUNG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

14806 Rutherford Park Ave
BAKERSFIELD CA 93311-8475
LOS ANGELES county
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Issuance Date

August 29, 2017

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
3:14:59 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HEALTHY SMILES FAMILY DENTAL OFFICE, PETER K. CHO DDS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17722 Primary Status: Current - Active

Address :
3450 STINE RD.
BAKERSFIELD CA 93309
KERN COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: HEALTHY SMILES FAMILY DENTAL OFFICE, PETER K. CHO DDS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17722 Primary Status: Current - Active

Address :
3450 STINE RD.
BAKERSFIELD CA 93309
KERN COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: CHO, PETER KWAN HYOUNG

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3723 Primary Status: Cancelled

Address :
3450 Stine Rd
BAKERSFIELD CA 93309-6341
KERN COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Pediatric Minimal Sedation Permit

Name: CHO, PETER KWAN HYOUNG

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 366 Primary Status: Current - Active

Address :
3450 STINE ROAD
BAKERSFIELD CA 93309
KERN COUNTY

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