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Licensing details for: 1596

Name: NORIEGA DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

3749 NORIEGA STREET
SAN FRANCISCO CA 94112-3903
SAN FRANCISCO county
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Issuance Date

April 10, 1997

Expiration Date

May 31, 2026

Current Date / Time

June 7, 2025
3:35:35 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NIP, CHRISTIAAN JOSEPH

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NIP, GREGORY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NIP, GREGORY CHARLES

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NIP, CHRISTIAAN

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: NIP, CHRISTIAAN JOSEPH

License/Registration Type: Dentist License

License Number: 43830 Primary Status: Current - Active

Address :
2243 VAN NESS AVE #101
SAN FRANCISCO CA 94109
SAN FRANCISCO 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: NIP, GREGORY CHARLES

License/Registration Type: Dentist License

License Number: 40382 Primary Status: Current - Active

Address :
3749 NORIEGA
SAN FRANCISCO CA 94122
SAN FRANCISCO COUNTY

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