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Licensing details for: 82219

Name: PHI HUYNH, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Park Place Dental Group, Inc.

Address of Record

501 S Reino Rd., Ste. G
NEWBURY PARK CA 91320
VENTURA county
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Practice Location

501 S Reino Rd., Ste. G
NEWBURY PARK CA 91320
VENTURA county
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Issuance Date

May 14, 2025

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
11:40:52 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: HUYNH, PHI CANH

License/Registration Type: Dentist License

License Number: 56413 Primary Status: Current - Active

Address :
11700 Heliotrope Ct
BAKERSFIELD CA 93311-8751
KERN COUNTY

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