Dental Board of California
Licensing details for: 4142
Name: EVERLAST PROFESSIONAL DENTAL OFFICE, NHA-AN NGUYEN, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
7861 GREENBACK LANE
CITRUS HEIGHTS CA 95610
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, NHA-AN HUU
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, NHA-AN
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: NGUYEN, NHA-AN HUU
License/Registration Type: Dentist License
License Number: 47535 Primary Status: Current - Active
Address :
7400 Sunrise Blvd., Ste A
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
