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Licensing details for: 2537

Name: SAN ANTONIO DENTAL, OFFICE OF CHRISTIAAN NIP, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

530 SHOWERS DRIVE, SUITE 3
MOUNTAIN VIEW CA 94040-1457
SANTA CLARA county
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Issuance Date

October 27, 1999

Expiration Date

May 31, 2022

Current Date / Time

December 13, 2025
9:41:23 AM

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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