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Licensing details for: 16701

Name: MELODY DENTAL CARE DENTAL OFFICE OF JIMMY NGUYEN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

7120 INDIANA AVE STE B
RIVERSIDE CA 92504
RIVERSIDE county
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Practice Location

7120 INDIANA AVE STE B
RIVERSIDE CA 92504
RIVERSIDE county
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Issuance Date

August 6, 2021

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
1:35:13 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, JIMMY

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, JIMMY

License/Registration Type: Dentist License

License Number: 57891 Primary Status: Current - Active

Address :
7120 INDIANA AVE
SUITE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY

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