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Licensing details for: 486

Name: NGUYEN, VIVIAN VAN

License Type: RDH Alternative Practice

Primary Status: Delinquent

Address not disclosed

Issuance Date

September 24, 2013

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
9:50:9 AM

License Relationships

Fictitious Name Permit to Registered Dental Hygienist Alternative Practice

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Fictitious Name Permit

Name: SMILES DENTAL HYGIENE PRACTICE OF VIVIAN NGUYEN RDHAP

License/Registration Type: Fictitious Name Permit

License Number: 168 Primary Status: Cancelled

Address :
17471 SKYLINE
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: TAGHAVI, REZA

License/Registration Type: Dentist License

License Number: 43865 Primary Status: Current - Active

Address :
8 Green Holw
IRVINE CA 92620-1283
ORANGE COUNTY

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