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Licensing details for: 103964

Name: VO, TRAVIS NAM

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

5563 Barclay Ct
CHINO HILLS CA 91709-8749
SAN BERNARDINO county
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Issuance Date

July 9, 2019

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
4:19:11 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: INLAND DENTAL GROUP, PRACTICE OF PHAM VO DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 18777 Primary Status: Current - Active

Address :
1131 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES 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: INLAND DENTAL GROUP, PRACTICE OF PHAM VO DENTAL PARTNERSHIP

License/Registration Type: Fictitious Name Permit

License Number: 18777 Primary Status: Current - Active

Address :
1131 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES COUNTY

Map

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