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Licensing details for: 56480

Name: CHEN, PETER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: PETER, CHEN

Address of Record

1155 S King Rd
SAN JOSE CA 95122-2144
SANTA CLARA county
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Practice Location

1155 S King Rd
SAN JOSE CA 95122-2144
SANTA CLARA county
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Issuance Date

October 12, 2007

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
5:15:36 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BAYVIEW DENTAL, PRACTICE OF CHEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 8299 Primary Status: Expired

Address :
2131 HARBOR BAY PARKWAY
ALAMEDA CA 94502
ALAMEDA 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: BAYVIEW DENTAL, PRACTICE OF CHEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 8299 Primary Status: Expired

Address :
2131 HARBOR BAY PARKWAY
ALAMEDA CA 94502
ALAMEDA COUNTY

Map

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