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Licensing details for: 2063

Name: NGUYEN, JOHN D A

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Address of Record

6395 MIRABEAU DR
NEWARK CA 94560
ALAMEDA county
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Issuance Date

July 31, 2021

Expiration Date

September 30, 2021

Current Date / Time

April 4, 2026
9:24:23 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: NGUYEN, JOHN D A

License/Registration Type: Dentist License

License Number: 103405 Primary Status: Current - Active

Address :
3445 Pacific Coast Hwy
Ste 205
TORRANCE CA 90505-6658
LOS ANGELES COUNTY

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