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Licensing details for: 9679

Name: HAO VAN NGUYEN, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: HAO VAN NGUYEN

Address of Record

1610 N. EL DORADO
STE. 7
STOCKTON CA 95204
SAN JOAQUIN county
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Issuance Date

September 5, 2008

Expiration Date

July 31, 2013

Current Date / Time

June 6, 2025
11:37:8 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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