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Licensing details for: 37610

Name: TRAN, KIM-THANH THI

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

18552 GARNET LN
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

July 28, 1989

Expiration Date

October 31, 2021

Current Date / Time

July 17, 2025
4:52:26 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KATELLA DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 1077 Primary Status: Cancelled

Address :
DR KIM-TRANH TRAN
6929 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KATELLA DENTAL CENTER, DENTAL OFFICE OF KIM-THANH T. TRAN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 10975 Primary Status: Cancelled

Address :
6897 KATELLA AVENUE
CYPRESS CA 90630
ORANGE 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: KATELLA DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 1077 Primary Status: Cancelled

Address :
DR KIM-TRANH TRAN
6929 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY

Map

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: KATELLA DENTAL CENTER, DENTAL OFFICE OF KIM-THANH T. TRAN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 10975 Primary Status: Cancelled

Address :
6897 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY

Map

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