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Licensing details for: 82161

Name: HAO NGUYEN, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2200 EASTRIDGE LOOP STE 1060
SAN JOSE CA 95122
SANTA CLARA county
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Practice Location

2200 EASTRIDGE LOOP STE 1060
SAN JOSE CA 95122
SANTA CLARA county
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Issuance Date

April 18, 2025

Expiration Date

July 31, 2025

Current Date / Time

December 13, 2025
2:3:38 PM

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, HAO VAN

License/Registration Type: Dentist License

License Number: 42076 Primary Status: Current - Active

Address :
4545 Georgetown Pl Ste B8
STOCKTON CA 95207-6230
SAN JOAQUIN COUNTY

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