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Licensing details for: 3396

Name: EMPIRE DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

4000 EMPIRE DRIVE SUITE #110
BAKERSFIELD CA 93309
KERN county
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Issuance Date

October 12, 2001

Expiration Date

February 29, 2012

Current Date / Time

June 6, 2025
1:54:4 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHUU, KENNETH KHANH

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KHUU, KENNETH

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: KHUU, KENNETH KHANH

License/Registration Type: Dentist License

License Number: 41437 Primary Status: Current - Active

Address :
14922 Mooresville Pl
BAKERSFIELD CA 93314-7227
KERN COUNTY

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