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Licensing details for: 20241

Name: NIP, CHARLES C

License Type: Dentist

Primary Status: Current - Inactive

Secondary Status: Radiation Safety Certification issued by the Board Reduced Renewal Fee

Address of Record

2243 VAN NESS AVENUE STE 202
SAN FRANCISCO CA 94109
SAN FRANCISCO county
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Issuance Date

January 1, 1968

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
8:31:8 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: NIP CHARLES DDS INC

License/Registration Type: Additional Office Permit

License Number: 3221 Primary Status: Expired

Address :
2243 VANNESS AVE #101
SAN FRANCISCO CA 94109
SAN FRANCISCO COUNTY

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AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: CHARLES C NIP, DDS

License/Registration Type: Additional Office Permit

License Number: 9029 Primary Status: Expired

Address :
4481 LAS POSAS RD.
CAMARILLO CA 93010
VENTURA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: REACH DENTAL CARE, DENTAL OFFICE OF CHARLES C NIP, DDS

License/Registration Type: Fictitious Name Permit

License Number: 5995 Primary Status: Expired

Address :
4200 KLOSE WAY STE A
RICHMOND CA 94806
CONTRA COSTA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH VAN NESS DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1041 Primary Status: Expired

Address :
CHARLES NIP DDS
240 SHOTWELL ST STE 230
SAN FRANCISCO CA 94110
SAN FRANCISCO 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: REACH DENTAL CARE, DENTAL OFFICE OF CHARLES C NIP, DDS

License/Registration Type: Fictitious Name Permit

License Number: 5995 Primary Status: Expired

Address :
4200 KLOSE WAY STE A
RICHMOND CA 94806
CONTRA COSTA 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: SOUTH VAN NESS DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1041 Primary Status: Expired

Address :
CHARLES NIP DDS
240 SHOTWELL ST STE 230
SAN FRANCISCO CA 94110
SAN FRANCISCO COUNTY

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