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Licensing details for: 368

Name: NGUYEN, KHUONG HUU

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

3028 McCall st.
SAN DIEGO CA 92106
SAN DIEGO county
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Issuance Date

October 17, 2024

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
6:45:10 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLAIREMONT PEDIATRIC DENTAL OFFICE, KHUONG NGUYEN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 4384 Primary Status: Cancelled

Address :
4320 GENESEE AVE, #106
SAN DIEGO CA 92117
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLAIREMONT PEDIATRIC DENTAL PRACTICE OF KHUONG NGUYEN, DDS, A PRO

License/Registration Type: Fictitious Name Permit

License Number: 10353 Primary Status: Expired

Address :
2780 CARDINAL ROAD, STE. A
SAN DIEGO CA 92123
SAN DIEGO 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: NGUYEN, KHUONG HUU

License/Registration Type: Dentist License

License Number: 44965 Primary Status: Current - Active

Address :
3028 McCall St
SAN DIEGO CA 92106-3423
SAN DIEGO COUNTY

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