Dental Board of California
Licensing details for: 9081
Name: PROMENADE DENTAL CARE, DENTAL GROUP OF BAO T NGUYEN, DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: PROMENADE DENTAL CARE
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, 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
