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Licensing details for: 11664

Name: THOMPSON AND AUDETTE DENTAL INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1761 PALM AVENUE
SAN DIEGO CA 92154
SAN DIEGO county
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Practice Location

1761 PALM AVENUE
SAN DIEGO CA 92154
SAN DIEGO county
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Issuance Date

January 26, 2015

Expiration Date

May 31, 2018

Current Date / Time

December 13, 2025
11:26:48 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: Audette, Hoa Nguyen

License/Registration Type: Dentist License

License Number: 57402 Primary Status: Current - Active

Address :
234 THIRD AVENUE, SU A
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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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: THOMPSON, UYEN NHA

License/Registration Type: Dentist License

License Number: 57353 Primary Status: Current - Active

Address :
688 OLD TELEGRAPH CANYON RD
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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