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Licensing details for: 3045

Name: NGUYEN, VAN KIM

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: NGUYEN, VAN T

Address of Record

7442 SONOMA CREEK CT
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
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Issuance Date

December 4, 2013

Expiration Date

April 30, 2022

Current Date / Time

June 6, 2025
2:21:31 PM

License Relationships

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, VAN KIM

License/Registration Type: Dentist License

License Number: 56115 Primary Status: Current - Active

Address :
7442 SONOMA CREEK CT
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY

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