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Licensing details for: 56115

Name: NGUYEN, VAN KIM

License Type: Dentist

Primary Status: Current - Active

Previous Names: NGUYEN, VAN T

Address of Record

7442 SONOMA CREEK CT
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
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Issuance Date

August 9, 2007

Expiration Date

April 30, 2026

Current Date / Time

June 7, 2025
8:15:38 AM

License Relationships

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, VAN KIM

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3045 Primary Status: Cancelled

Address :
7442 SONOMA CREEK CT
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY

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