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Licensing details for: 9081

Name: PROMENADE DENTAL CARE, DENTAL GROUP OF BAO T NGUYEN, DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: PROMENADE DENTAL CARE

Practice Location

26550 YNEZ ROAD
STE. B
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

December 1, 2010

Expiration Date

November 30, 2021

Current Date / Time

June 6, 2025
9:49:32 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, BAO THIEN-VU

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, BAO THIEN-VU

License/Registration Type: Dentist License

License Number: 49164 Primary Status: Current - Active

Address :
26957 Date St
204
MURRIETA CA 92563-3592
RIVERSIDE COUNTY

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