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Licensing details for: 8189

Name: HEALING IMPRESSIONS DENTAL GROUP, DR. FONDREN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: HEALING IMPRESSIONS DENTAL GROUP

Address of Record

8329 FAIR OAKS BOULEVARD #B
CARMICHAEL CA 95608
SACRAMENTO county
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Practice Location

8329 FAIR OAKS BOULEVARD #B
CARMICHAEL CA 95608
SACRAMENTO county
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Issuance Date

June 8, 2009

Expiration Date

December 31, 2010

Current Date / Time

June 6, 2025
10:14:10 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: FONDREN, SINDY NGUYEN

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: FONDREN, SINDY NGUYEN

License/Registration Type: Dentist License

License Number: 43825 Primary Status: Current - Active

Address :
576 North Sunrise Avenue
140
ROSEVILLE CA 95661
PLACER COUNTY

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