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Licensing details for: 9308

Name: PREMIER FAMILY DENTISTRY, DENTAL OFFICE CHINH NGUYEN, DDS, A PROF

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: PREMIER FAMILY DENTISTRY

Address of Record

2520 H STREET
STE. B
BAKERSFIELD CA 93301
KERN county
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Practice Location

2520 H STREET
STE. B
BAKERSFIELD CA 93301
KERN county
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Issuance Date

May 12, 2011

Expiration Date

January 31, 2025

Current Date / Time

June 21, 2025
9:31:39 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, CHINH TRUONG

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, CHINH TRUONG

License/Registration Type: Dentist License

License Number: 44963 Primary Status: Current - Active

Address :
4000 Stockdale Hwy
STE A
BAKERSFIELD CA 93309-2059
KERN COUNTY

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