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Licensing details for: 3903

Name: NORTH PARK DENTAL OFFICE, DUNG T P NGUYEN, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

3426 UNIVERSITY AVE
SAN DIEGO CA 92104
SAN DIEGO county
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Issuance Date

September 12, 2002

Expiration Date

September 30, 2008

Current Date / Time

June 3, 2026
9:29:18 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: NGUYEN, DUNG THI PHUONG

License/Registration Type: Dentist License

License Number: 42749 Primary Status: Current - Active

Address :
3426 UNIVERSITY AVE
SAN DIEGO CA 92104
SAN DIEGO COUNTY

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