Dental Board of California
Licensing details for: 104550
Name: DUONG, VI-KHOI KYLE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1643 S San Jacinto Ave
101
SAN JACINTO CA 92583-5181
RIVERSIDE county
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Practice Location
1500 S Riverside Ave
Suite 103
RIALTO CA 92376-7726
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1643 S San Jacinto Ave
Ste 100 and 101
SAN JACINTO CA 92583-5181
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2862 Canyon Springs Pkwy
STE A
RIVERSIDE CA 92507-0928
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3027 W Florida Ave
P-1
HEMET CA 92545-3617
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License Relationships
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: Little Koi Pediatric Dentistry, Dental Office of Dr. Vi-Khoi Duong
License/Registration Type: Fictitious Name Permit
License Number: 19986 Primary Status: Current - Active
Address :
18742 Amar Rd
WALNUT CA 91789-4168
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: DUONG, VI-KHOI KYLE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4225 Primary Status: Cancelled
Address :
250 S G St
SAN BERNARDINO CA 92410-3320
SAN BERNARDINO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: DUONG, VI-KHOI KYLE
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 243 Primary Status: Current - Active
Address :
1643 S San Jacinto Ave
101
SAN JACINTO CA 92583-5181
RIVERSIDE COUNTY
