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Licensing details for: 34

Name: TON, THANH TAM NU

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

1148 S. ROWAN AVE. SUITE #1
LOS ANGELES CA 90023
LOS ANGELES county
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Practice Location

1148 S. ROWAN AVE. SUITE 1
LOS ANGELES CA 90023
LOS ANGELES county
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Issuance Date

February 1, 2023

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
1:32:4 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFC DENTAL GROUP OF TON DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 3670 Primary Status: Cancelled

Address :
1201 EAST FLORENCE AVE
LOS ANGELES CA 90001
LOS ANGELES COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: TON, THANH TAM NU

License/Registration Type: Dentist License

License Number: 46338 Primary Status: Current - Active

Address :
1148 S Rowan Ave Ste 1
LOS ANGELES CA 90023-3360
LOS ANGELES COUNTY

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