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Licensing details for: 42434

Name: TRAN, TAM-HUONG NGOC

License Type: Dentist

Primary Status: Current - Active

Address of Record

13362 Newport Ave
Ste D
TUSTIN CA 92780-3427
ORANGE county
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Issuance Date

October 17, 1994

Expiration Date

January 31, 2026

Current Date / Time

June 7, 2025
10:1:56 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TUSTIN BLUE DENTAL GROUP, DENTAL PRACTICE OF T. TRAN DDS

License/Registration Type: Fictitious Name Permit

License Number: 12963 Primary Status: Current - Active

Address :
13362 NEWPORT AVENUE, SUITE D
TUSTIN CA 92780
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AT-EASE DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3338 Primary Status: Cancelled

Address :
11155 TAMPA AVENUE
NORTHRIDGE CA 91326
LOS ANGELES 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: TUSTIN BLUE DENTAL GROUP, DENTAL PRACTICE OF T. TRAN DDS

License/Registration Type: Fictitious Name Permit

License Number: 12963 Primary Status: Current - Active

Address :
13362 NEWPORT AVENUE, SUITE D
TUSTIN CA 92780
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: AT-EASE DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3338 Primary Status: Cancelled

Address :
11155 TAMPA AVENUE
NORTHRIDGE CA 91326
LOS ANGELES COUNTY

Map

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