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Licensing details for: 11571

Name: LENG C. HAONG, D.D.S. INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2135 TRACY BOULEVARD
TRACY CA 95376
SAN JOAQUIN county
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Practice Location

2135 TRACY BOULEVARD
TRACY CA 95376
SAN JOAQUIN county
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Issuance Date

October 3, 2014

Expiration Date

August 31, 2016

Current Date / Time

June 7, 2025
8:55:57 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: HAONG, LENG CHUNG

License/Registration Type: Dentist License

License Number: 50265 Primary Status: Current - Active

Address :
6680 N Blackstone Ave
FRESNO CA 93710-3528
FRESNO COUNTY

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