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Licensing details for: 13479

Name: EVERLAST DENTAL OFFICE, NHA-AN NGUYEN DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

7400 SUNRISE BLVD
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Practice Location

7400 SUNRISE BLVD
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Issuance Date

May 1, 2017

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
7:10:28 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, NHA-AN HUU

Address Not Disclosed

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: NGUYEN, NHA-AN HUU

License/Registration Type: Dentist License

License Number: 47535 Primary Status: Current - Active

Address :
7400 Sunrise Blvd., Ste A
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY

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