Dental Board of California
Licensing details for: 17165
Name: VAN NESS DENTAL GROUP CHRISTIAAN NIP DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NIP, CHRISTIAAN JOSEPH
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
