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Licensing details for: 2957

Name: NGUYEN, BAO THIEN-VU

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

26957 Date St
204
MURRIETA CA 92563-3592
RIVERSIDE county
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Issuance Date

May 15, 2013

Expiration Date

November 30, 2023

Current Date / Time

June 6, 2025
10:21:28 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PROMENADE DENTAL CARE, DENTAL GROUP OF BAO T NGUYEN, DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 9081 Primary Status: Expired

Address :
26550 YNEZ ROAD
STE. B
TEMECULA CA 92591
RIVERSIDE COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: NGUYEN, BAO THIEN-VU

License/Registration Type: Dentist License

License Number: 49164 Primary Status: Current - Active

Address :
26957 Date St
204
MURRIETA CA 92563-3592
RIVERSIDE COUNTY

Map

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