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Licensing details for: 10813

Name: TIEU AND PENG DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: VINEYARD DENTAL SERVICES, INC.

Address of Record

30630 RANCHO CALIFORNIA RD.
STE. 504
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

September 12, 2012

Expiration Date

January 24, 2019

Current Date / Time

June 7, 2025
3:32:28 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: TIEU, ANDY LIANG

License/Registration Type: Dentist License

License Number: 49228 Primary Status: Current - Active

Address :
6790 TOP GUN ST. SUITE #5
SAN DIEGO CA 92121
SAN DIEGO COUNTY

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