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Licensing details for: 15077

Name: NEIGHBORHOOD SMILE DENTAL CARE, DENTAL OFFICE OF BUTAY AND PHUI, DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

265 N. EUCLID AVE
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

July 1, 2019

Expiration Date

June 30, 2026

Current Date / Time

December 13, 2025
9:44:12 AM

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: BUTAY, NELSON SINFUEGO

License/Registration Type: Dentist License

License Number: 48887 Primary Status: Current - Active

Address :
265 N. EUCLID AVE
UPLAND CA 91786
SAN BERNARDINO 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: PHUI, LENH SOI

License/Registration Type: Dentist License

License Number: 47306 Primary Status: Current - Active

Address :
12420 Day St
B4
MORENO VALLEY CA 92553-7536
RIVERSIDE COUNTY

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