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Licensing details for: 44963

Name: NGUYEN, CHINH TRUONG

License Type: Dentist

Primary Status: Current - Active

Address of Record

4000 Stockdale Hwy
STE A
BAKERSFIELD CA 93309-2059
KERN county
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Issuance Date

October 28, 1997

Expiration Date

January 31, 2027

Current Date / Time

June 22, 2025
3:6:25 AM

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: PHAM, TRUONG & NGUYEN, A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 9114 Primary Status: Cancelled

Address :
6658 STINE ROAD, STE. E-2
BAKERSFIELD CA 93309
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: H STREET DENTAL OFFICE, CHINH T NGUYEN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 3007 Primary Status: Cancelled

Address :
833 H STREET
BAKERSFIELD CA 93304
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PREMIER FAMILY DENTISTRY, DENTAL OFFICE CHINH NGUYEN, DDS, A PROF

License/Registration Type: Fictitious Name Permit

License Number: 9308 Primary Status: Expired

Address :
2520 H STREET
STE. B
BAKERSFIELD CA 93301
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE GALLERY DENTAL CENTER, A DENTAL PRACTICE OF PHAM & TRUONG,

License/Registration Type: Fictitious Name Permit

License Number: 6430 Primary Status: Cancelled

Address :
6658 STINE ROAD, STE. E-2
BAKERSFIELD CA 93309
KERN COUNTY

Map

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: SMILE GALLERY DENTAL CENTER, A DENTAL PRACTICE OF PHAM & TRUONG,

License/Registration Type: Fictitious Name Permit

License Number: 6430 Primary Status: Cancelled

Address :
6658 STINE ROAD, STE. E-2
BAKERSFIELD CA 93309
KERN COUNTY

Map

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: H STREET DENTAL OFFICE, CHINH T NGUYEN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 3007 Primary Status: Cancelled

Address :
833 H STREET
BAKERSFIELD CA 93304
KERN COUNTY

Map

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: PREMIER FAMILY DENTISTRY, DENTAL OFFICE CHINH NGUYEN, DDS, A PROF

License/Registration Type: Fictitious Name Permit

License Number: 9308 Primary Status: Expired

Address :
2520 H STREET
STE. B
BAKERSFIELD CA 93301
KERN COUNTY

Map

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