Dental Board of California
Licensing details for: 42076
Name: NGUYEN, HAO VAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
4545 Georgetown Pl Ste B8
STOCKTON CA 95207-6230
SAN JOAQUIN county
Map
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: HAO VAN NGUYEN, DDS
License/Registration Type: Additional Office Permit
License Number: 6150 Primary Status: Cancelled
Address :
113 NORTH MILPITAS BLVD.
MILPITAS CA 95035
SANTA CLARA COUNTY
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: HAO NGUYEN, DDS
License/Registration Type: Additional Office Permit
License Number: 82161 Primary Status: Current - Active
Address :
2200 EASTRIDGE LOOP STE 1060
SAN JOSE CA 95122
SANTA CLARA COUNTY
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: HAO VAN NGUYEN, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9679 Primary Status: Cancelled
Address :
1610 N. EL DORADO
STE. 7
STOCKTON CA 95204
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NGUYEN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 1489 Primary Status: Current - Active
Address :
4545 GEORGETOWN PLACE, STE B-8
STOCKTON CA 95207
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL CONCEPTS DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 19464 Primary Status: Current - Active
Address :
2200 EASTRIDGE LOOP STE 1060
SAN JOSE CA 95122
SANTA CLARA COUNTY
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: NGUYEN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 1489 Primary Status: Current - Active
Address :
4545 GEORGETOWN PLACE, STE B-8
STOCKTON CA 95207
SAN JOAQUIN COUNTY
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: DENTAL CONCEPTS DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 19464 Primary Status: Current - Active
Address :
2200 EASTRIDGE LOOP STE 1060
SAN JOSE CA 95122
SANTA CLARA COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: NGUYEN, PHUNG KIM
License/Registration Type: Dentist License
License Number: 44749 Primary Status: Current - Active
Address :
2114 SENTER RD #25
SAN JOSE CA 95112
SANTA CLARA COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: NGUYEN, PHUNG KIM
License/Registration Type: Dentist License
License Number: 44749 Primary Status: Current - Active
Address :
2114 SENTER RD #25
SAN JOSE CA 95112
SANTA CLARA COUNTY
