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Licensing details for: 6594

Name: NORTH PARK DENTAL OFFICE, DUNG T. P. NGUYEN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

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

December 4, 2006

Expiration Date

September 30, 2026

Current Date / Time

June 3, 2026
9:29:16 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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