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Licensing details for: 80719

Name: JIMMY NGUYEN, D.D.S., INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

13089 PEYTON DR SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO county
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Practice Location

13089 PEYTON DR SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO county
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Issuance Date

November 18, 2020

Expiration Date

October 31, 2024

Current Date / Time

June 6, 2025
2:21:56 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: NGUYEN, JIMMY

License/Registration Type: Dentist License

License Number: 57891 Primary Status: Current - Active

Address :
7120 INDIANA AVE
SUITE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY

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