Dental Board of California
Licensing details for: 100592
Name: Nguyen, Jessica
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JESSICA NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80947 Primary Status: Current - Active
Address :
3767 AVOCADO BLVD
LA MESA CA 91941
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO SAN DIEGO DENTISTS DENTAL GROUP, JESSICA NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16554 Primary Status: Current - Active
Address :
3767 AVOCADO BLVD
LA MESA CA 91941
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: RANCHO SAN DIEGO DENTISTS DENTAL GROUP, JESSICA NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16554 Primary Status: Current - Active
Address :
3767 AVOCADO BLVD
LA MESA CA 91941
SAN DIEGO COUNTY
