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Licensing details for: 3221

Name: NIP CHARLES DDS INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

2243 VANNESS AVE #101
SAN FRANCISCO CA 94109
SAN FRANCISCO county
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Issuance Date

August 21, 1982

Expiration Date

June 30, 2023

Current Date / Time

June 7, 2025
7:18:38 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: NIP, CHARLES C

License/Registration Type: Dentist License

License Number: 20241 Primary Status: Current - Inactive

Address :
2243 VAN NESS AVENUE STE 202
SAN FRANCISCO CA 94109
SAN FRANCISCO COUNTY

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