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Licensing details for: 102294

Name: TRAN, KRISTINA THAI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Credential

Address of Record

2146 79th St
BROOKLYN NY 11214-1909
KINGS county
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Contract Location

2146 79th St
BROOKLYN NY 11214-1909
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Practice Location

280
Henry Street
NEW YORK NY 10002
NEW YORK county
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Issuance Date

February 12, 2018

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
8:0:11 AM

License Relationships

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: TRAN, KRISTINA THAI

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3924 Primary Status: Cancelled

Address :
2146 79th St
BROOKLYN NY 11214-1909
KINGS COUNTY

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