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Licensing details for: 8002

Name: GENTLE CARE DENTAL, DENTAL OFFICE OF LINH D. A. NGUYEN, DDS.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: GENTLE CARE DENTAL

Address of Record

1745 W. KETTLEMAN LANE
STE. C
LODI CA 95242
SAN JOAQUIN county
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Practice Location

1745 W. KETTLEMAN LANE
STE. C
LODI CA 95242
SAN JOAQUIN county
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Issuance Date

March 4, 2009

Expiration Date

September 30, 2018

Current Date / Time

June 22, 2025
5:55:30 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, LINH DONG-ANH

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, LINH DONG-ANH

License/Registration Type: Dentist License

License Number: 46310 Primary Status: Current - Active

Address :
525 S Fairmont Ave Ste G
B
525 S Fairmont Ave Ste G
LODI CA 95240-3860
SAN JOAQUIN COUNTY

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