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Licensing details for: 3924

Name: TRAN, KRISTINA THAI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2146 79th St
BROOKLYN NY 11214-1909
KINGS county
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Issuance Date

August 12, 2019

Expiration Date

April 30, 2023

Current Date / Time

June 6, 2025
1:46:15 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: TRAN, KRISTINA THAI

License/Registration Type: Dentist License

License Number: 102294 Primary Status: Current - Active

Address :
280
Henry Street
NEW YORK NY 10002
NEW YORK COUNTY

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