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Licensing details for: 8944

Name: MOWRY DENTAL PRACTICE OF CHRIS PHAM, DDS AND THI HOANG, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA county
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Practice Location

2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA county
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Issuance Date

September 16, 2010

Expiration Date

March 31, 2014

Current Date / Time

June 6, 2025
9:38:57 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOANG, THI NGUYEN NGOC

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PHAM, CHRISTOPHER CUONG

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: PHAM, CHRISTOPHER CUONG

License/Registration Type: Dentist License

License Number: 52915 Primary Status: Current - Active

Address :
9200 Scranton Rd
Ste 101
SAN DIEGO CA 92121-7716
SAN DIEGO COUNTY

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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: HOANG, THI NGUYEN NGOC

License/Registration Type: Dentist License

License Number: 57459 Primary Status: Current - Active

Address :
39355 CALIFORNIA ST
Suite 100
FREMONT CA 94538-1724
ALAMEDA COUNTY

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