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Licensing details for: 15772

Name: MOWRY DENTAL PRACTICE OF THI HOANG DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

39355 CALIFORNIA ST., SUITE 100
FREMONT CA 94538
ALAMEDA county
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Practice Location

39355 CALIFORNIA ST., SUITE 100
FREMONT CA 94538
ALAMEDA county
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Issuance Date

April 23, 2020

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
8:33:32 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOANG, THI NGUYEN NGOC

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: HOANG, THI NGUYEN NGOC

License/Registration Type: Dentist License

License Number: 57459 Primary Status: Current - Active

Address :
39355 CALIFORNIA ST
Suite 100
FREMONT CA 94538-1724
ALAMEDA COUNTY

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