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Licensing details for: 80912

Name: NILAR THEIN, D.D.S., A PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1104 E. 17TH., SUITE C
SANTA ANA CA 92701
ORANGE county
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Practice Location

1104 E. 17TH., SUITE C
SANTA ANA CA 92703
ORANGE county
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Issuance Date

May 3, 2021

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
2:17:24 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: SOE, PYI

License/Registration Type: Dentist License

License Number: 46973 Primary Status: Current - Active

Address :
1104 E 17th St
SANTA ANA CA 92701-2602

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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: THEIN, NILAR

License/Registration Type: Dentist License

License Number: 48037 Primary Status: Current - Active

Address :
1616 E MAYFAIR AVE
ORANGE CA 92867
ORANGE COUNTY

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