Dental Board of California
Licensing details for: 6430
Name: SMILE GALLERY DENTAL CENTER, A DENTAL PRACTICE OF PHAM & TRUONG,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SMILE GALLERY DENTAL CENTER
Address of Record
6658 STINE ROAD, STE. E-2
BAKERSFIELD CA 93309
KERN county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, CHINH TRUONG
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, CHINH TRUONG
License/Registration Type: Dentist License
License Number: 44963 Primary Status: Current - Active
Address :
4000 Stockdale Hwy
STE A
BAKERSFIELD CA 93309-2059
KERN COUNTY
