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Licensing details for: 61369

Name: HOANG, THUY TRAN THIEN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3647 PERADA DRIVE
WALNUT CREEK CA 94698
CONTRA COSTA county
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Practice Location

401 GREGORY LANE, SUITE 130
PLEASANT HILL CA 94523
CONTRA COSTA county
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Issuance Date

June 6, 2012

Expiration Date

March 31, 2027

Current Date / Time

June 22, 2025
4:39:36 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PLEASANT HILL PROSTHODONTICS DENTAL OFFICE OF DR. TRAN HOANG

License/Registration Type: Fictitious Name Permit

License Number: 15175 Primary Status: Cancelled

Address :
401 GREGORY LANE, SUITE 130
PLEASANT HILL CA 94523
CONTRA COSTA 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: PLEASANT HILL PROSTHODONTICS DENTAL OFFICE OF DR. TRAN HOANG

License/Registration Type: Fictitious Name Permit

License Number: 15175 Primary Status: Cancelled

Address :
401 GREGORY LANE, SUITE 130
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY

Map

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