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Licensing details for: 9803

Name: MELODY DENTAL CARE, DENTAL PRACTICE OF HOANG MINH NGUYEN, DDS, IN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Previous Names: MELODY DENTAL CARE PRACTICE OF HOANG MINH NGUYEN, DDS, INC.

Address of Record

7120 INDIANA AVENUE, STE. B
RIVERSIDE CA 92881
RIVERSIDE county
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Practice Location

7120 INDIANA AVENUE, STE. B
RIVERSIDE CA 92881
RIVERSIDE county
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Issuance Date

March 7, 2012

Expiration Date

February 28, 2018

Current Date / Time

June 6, 2025
2:1:40 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, HOANG MINH

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, HOANG MINH

License/Registration Type: Dentist License

License Number: 40867 Primary Status: Current - Active

Address :
19969 Greenley Rd
D
SONORA CA 95370-5908
TUOLUMNE COUNTY

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