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Licensing details for: 17165

Name: VAN NESS DENTAL GROUP CHRISTIAAN NIP DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2243 VAN NESS AVENUE SUITE 101
SAN FRANCISCO CA 94109
SAN FRANCISCO county
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Practice Location

2243 VAN NESS AVENUE SUITE 101
SAN FRANCISCO CA 94109
SAN FRANCISCO county
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Issuance Date

May 20, 2022

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
1:47:4 PM

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: 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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