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Licensing details for: 5298

Name: NGUYEN YOUTHFUL TOOTH AND GENTLE DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

39411 FREMONT BLVD
FREMONT CA 94538
ALAMEDA county
Map

Issuance Date

December 21, 2004

Expiration Date

September 30, 2005

Current Date / Time

November 1, 2025
1:59:55 PM

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, DUC SY

License/Registration Type: Dentist License

License Number: 45507 Primary Status: Current - Active

Address Not Disclosed

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