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Licensing details for: 11295

Name: SAN DIEGO DENTAL STUDIO, DENTAL OFFICE OF DR. TOM BIERMAN AND DR.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Partnership

Previous Names: SAN DIEGO DENTAL STUDIO DR. TOM BIERMAN AND DR. QUAN MA

Address of Record

6635 FLANDERS DRIVE
SUITE E
SAN DIEGO CA 92121
SAN DIEGO county
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Practice Location

6635 FLANDERS DRIVE
SUITE E
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

May 19, 2014

Expiration Date

February 28, 2026

Current Date / Time

November 9, 2026
5:15:16 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: BIERMAN, THOMAS FRANK

License/Registration Type: Dentist License

License Number: 62967 Primary Status: Current - Active

Address :
6650 Flanders Dr Ste J
SAN DIEGO CA 92121-3908
SAN DIEGO COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: MA, QUAN T

License/Registration Type: Dentist License

License Number: 62908 Primary Status: Current - Active

Address :
6650 Flanders Dr Ste J
SAN DIEGO CA 92121-3908
SAN DIEGO COUNTY

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