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Licensing details for: 9929

Name: ANH QT LE PROFESSIONAL DENTAL CORP

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1721 STORY ROAD
SAN JOSE CA 95122
SANTA CLARA county
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Practice Location

1721 STORY ROAD
SAN JOSE CA 95122
SANTA CLARA county
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Issuance Date

June 2, 2009

Expiration Date

March 31, 2019

Current Date / Time

November 2, 2025
7:14:29 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: LE, ANH Q T

License/Registration Type: Dentist License

License Number: 42562 Primary Status: Expired

Address :
2704 CLOVER MEADOW CT
SAN JOSE CA 95135
SANTA CLARA COUNTY

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