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Licensing details for: 101705

Name: TRAN, MINH DUC

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

30190 Whembly Cir
MENIFEE CA 92584-5609
RIVERSIDE county
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Issuance Date

July 27, 2017

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
3:9:20 AM

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: DO-YABUT AND TRAN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81267 Primary Status: Current - Active

Address :
23905 CLINTON KEITH ROAD SUITE 108
WILDOMAR CA 92595
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLINTON KEITH DENTAL GROUP, DO-YABUT AND TRAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17266 Primary Status: Current - Active

Address :
23905 CLINTON KEITH ROAD SUITE 108G
WILDOMAR CA 92595
RIVERSIDE COUNTY

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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: CLINTON KEITH DENTAL GROUP, DO-YABUT AND TRAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17266 Primary Status: Current - Active

Address :
23905 CLINTON KEITH ROAD SUITE 108G
WILDOMAR CA 92595
RIVERSIDE COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: TRAN, MINH DUC

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3891 Primary Status: Expired

Address :
23905 Clinton Keith Rd
Ste 108
WILDOMAR CA 92595-7897
RIVERSIDE COUNTY

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