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Licensing details for: 17103

Name: VALLEY CENTER DENTAL DENTAL GROUP OF HOA N NGUYEN, DMD, INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: VALLEY CENTER DENTAL, DENTAL GROUP OF HOA N NGUYEN, DMD, INC

Address of Record

28743 VALLEY CENTER RD. STE A
VALLEY CENTER CA 92082
SAN DIEGO county
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Practice Location

28743 VALLEY CENTER RD. STE A
VALLEY CENTER CA 92082
SAN DIEGO county
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Issuance Date

April 20, 2022

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
1:24:21 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, HOA 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: NGUYEN, HOA NGOC

License/Registration Type: Dentist License

License Number: 64645 Primary Status: Current - Active

Address :
28743 Valley Center Rd
A
VALLEY CENTER CA 92082-6530
SAN DIEGO COUNTY

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