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Licensing details for: 57459

Name: HOANG, THI NGUYEN NGOC

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Address of Record

39355 CALIFORNIA ST
Suite 100
FREMONT CA 94538-1724
ALAMEDA county
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Issuance Date

August 7, 2008

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
8:21:56 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: THI HOANG, DDS, INC

License/Registration Type: Additional Office Permit

License Number: 78968 Primary Status: Cancelled

Address :
2832 Las Positas Rd
LIVERMORE CA 94551-8805
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MOWRY DENTAL PRACTICE OF THI HOANG, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10088 Primary Status: Cancelled

Address :
2147 MOWRY AVENUE, STE. A5
FREMONT CA 94538
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MOWRY DENTAL PRACTICE OF CHRIS PHAM, DDS AND THI HOANG, DDS

License/Registration Type: Fictitious Name Permit

License Number: 8944 Primary Status: Cancelled

Address :
2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAS POSITAS FAMILY DENTAL PRACTICE OF THI HOANG, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 12772 Primary Status: Cancelled

Address :
2832 LAS POSITAS ROAD
LIVERMORE CA 94551
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAS POSITAS FAMILY DENTAL PRACTICE OF T. HOANG DENTAL GROUP, INC.

License/Registration Type: Fictitious Name Permit

License Number: 15730 Primary Status: Current - Active

Address :
2832 LAS POSITAS RD
LIVERMORE CA 94551
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MOWRY DENTAL PRACTICE OF THI HOANG DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 15772 Primary Status: Current - Active

Address :
39355 CALIFORNIA ST., SUITE 100
FREMONT CA 94538
ALAMEDA 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: MOWRY DENTAL PRACTICE OF THI HOANG, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10088 Primary Status: Cancelled

Address :
2147 MOWRY AVENUE, STE. A5
FREMONT CA 94538
ALAMEDA 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: LAS POSITAS FAMILY DENTAL PRACTICE OF T. HOANG DENTAL GROUP, INC.

License/Registration Type: Fictitious Name Permit

License Number: 15730 Primary Status: Current - Active

Address :
2832 LAS POSITAS RD
LIVERMORE CA 94551
ALAMEDA 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: MOWRY DENTAL PRACTICE OF CHRIS PHAM, DDS AND THI HOANG, DDS

License/Registration Type: Fictitious Name Permit

License Number: 8944 Primary Status: Cancelled

Address :
2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA 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: LAS POSITAS FAMILY DENTAL PRACTICE OF THI HOANG, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 12772 Primary Status: Cancelled

Address :
2832 LAS POSITAS ROAD
LIVERMORE CA 94551
ALAMEDA 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: MOWRY DENTAL PRACTICE OF THI HOANG DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 15772 Primary Status: Current - Active

Address :
39355 CALIFORNIA ST., SUITE 100
FREMONT CA 94538
ALAMEDA COUNTY

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