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Licensing details for: 3209

Name: TU, VINCENT

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1349 Dolomite Way
SAN MARCOS CA 92078-2824
SAN DIEGO county
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Practice Location

320 Sycamore Ave Ste 60
VISTA CA 92083-7797
SAN DIEGO county
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Issuance Date

July 18, 2014

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
2:25:34 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KID'S DENTIST DENTAL GROUP VINCENT TU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13076 Primary Status: Cancelled

Address :
320 SYCAMORE AVENUE, SUITE 60
VISTA CA 92083
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KID'S DENTIST DENTAL GROUP VINCENT TU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15203 Primary Status: Current - Active

Address :
320 SYCAMORE AVENUE, SUITE 60
VISTA CA 92083
SAN DIEGO 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: TU, VINCENT

License/Registration Type: Dentist License

License Number: 63391 Primary Status: Current - Active

Address :
320 Sycamore Ave
VISTA CA 92083-7797
SAN DIEGO COUNTY

Map

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