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Licensing details for: 18174

Name: HOYBJERG FAMILY ORTHODONTICS DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

4330 GOLDEN CENTER DRIVE, STE A
PLACERVILLE CA 95667
EL DORADO county
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Practice Location

4330 GOLDEN CENTER DRIVE, STE A
PLACERVILLE CA 95667
EL DORADO county
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Issuance Date

October 11, 2023

Expiration Date

January 31, 2027

Current Date / Time

June 22, 2025
12:8:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOYBJERG, CHRISTIAN JAMES

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: HOYBJERG, CHRISTIAN JAMES

License/Registration Type: Dentist License

License Number: 56780 Primary Status: Current - Active

Address :
1410 Elmores Way
EL DORADO HILLS CA 95762-4186
EL DORADO COUNTY

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