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Licensing details for: 782

Name: TON, THANH TAM NU

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

19215 VANOWEN STREET
RESEDA CA 91335
LOS ANGELES county
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Issuance Date

April 27, 2012

Expiration Date

January 31, 2015

Current Date / Time

June 6, 2025
1:53:32 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: TON, THANH TAM NU

License/Registration Type: Dentist License

License Number: 46338 Primary Status: Current - Active

Address :
1148 S Rowan Ave Ste 1
LOS ANGELES CA 90023-3360
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFC DENTAL GROUP OF TON DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 3670 Primary Status: Cancelled

Address :
1201 EAST FLORENCE AVE
LOS ANGELES CA 90001
LOS ANGELES COUNTY

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