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Licensing details for: 9029

Name: CHARLES C NIP, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation Sole Owner

Previous Names: PAGE HUDSON, DDS, INC PAGE HUDSON, DDS INC

Address of Record

4200 KLOSE WAY STE A
RICHMOND CA 94806
CONTRA COSTA county
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Practice Location

4481 LAS POSAS RD.
CAMARILLO CA 93010
VENTURA county
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Issuance Date

June 15, 2006

Expiration Date

June 30, 2023

Current Date / Time

June 6, 2025
10:28:17 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: HUDSON, PAGE ALLEN

License/Registration Type: Dentist License

License Number: 36249 Primary Status: Current - Active

Address :
5150 5th St
RAPID CITY SD 57701-6023
PENNINGTON COUNTY

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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: 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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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: WRIGHT, CHAD MARCEL

License/Registration Type: Dentist License

License Number: 45998 Primary Status: Current - Active

Address :
2221 Ventura Blvd
CAMARILLO CA 93010-6654

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