License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PROMENADE DENTAL CARE, DENTAL GROUP OF BAO T NGUYEN, DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 9081 Primary Status: Expired
Address :
26550 YNEZ ROAD
STE. B
TEMECULA CA 92591
RIVERSIDE 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: PROMENADE DENTAL CARE, DENTAL GROUP OF BAO T NGUYEN, DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 9081 Primary Status: Expired
Address :
26550 YNEZ ROAD
STE. B
TEMECULA CA 92591
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: NGUYEN, BAO THIEN-VU
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2957 Primary Status: Expired
Address :
26957 Date St
204
MURRIETA CA 92563-3592
RIVERSIDE COUNTY
