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Licensing details for: 102619

Name: TRUONG, DAN THANH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

9185 Desiderio Way
GILROY CA 95020-9641
SANTA CLARA county
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Issuance Date

June 24, 2018

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
7:51:30 PM

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: TRUONG, DAN THANH

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4237 Primary Status: Cancelled

Address :
9185 DESIDERIO WAY
GILROY CA 95020
SANTA CLARA COUNTY

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