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Licensing details for: 47129

Name: Abbink, Kristen Miller

License Type: Dentist

Primary Status: Current - Active

Previous Names: MILLER, KRISTEN ANNETTE

Address of Record

1775 CORTE JUBILO
CAMARILLO CA 93012
VENTURA county
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Issuance Date

May 5, 2000

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
8:21:55 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 4475 Primary Status: Cancelled

Address :
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
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: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 4475 Primary Status: Cancelled

Address :
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
LOS ANGELES COUNTY

Map

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