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Licensing details for: 3367

Name: TUAN, MICHAEL

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2041 Bronze Star Dr
Ste 300
WOODLAND CA 95776-5427
YOLO county
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Issuance Date

October 6, 2015

Expiration Date

July 31, 2023

Current Date / Time

June 7, 2025
11:58:45 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WOODLAND SMILES DENTISTRY DENTAL GROUP AMARDEEP GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14573 Primary Status: Current - Active

Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
YOLO 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: TUAN, MICHAEL

License/Registration Type: Dentist License

License Number: 65040 Primary Status: Current - Active

Address :
2041 Bronze Star Dr
STE 300
WOODLAND CA 95776-5427
YOLO COUNTY

Map

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