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Licensing details for: 14833

Name: PREMIER DENTAL, DENTAL PRACTICE OF JONATHAN C. NGUYEN, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4575 EL CAJON BLVD STE A
SAN DIEGO CA 92115
SAN DIEGO county
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Practice Location

4575 EL CAJON BLVD STE A
SAN DIEGO CA 92115
SAN DIEGO county
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Issuance Date

February 20, 2019

Expiration Date

November 30, 2027

Current Date / Time

April 4, 2026
9:08:13 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: NGUYEN, JONATHAN CHUONG LE

License/Registration Type: Dentist License

License Number: 51099 Primary Status: Current - Active

Address :
11490 McDowell Ct
SAN DIEGO CA 92131-6127
SAN DIEGO COUNTY

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