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Licensing details for: 44900

Name: WYNN, MICHAEL MINH

License Type: Dentist

Primary Status: Current - Active

Previous Names: HUYNH, VIMINH NGOC

Address of Record

408 S Beach Blvd Ste 210
ANAHEIM CA 92804-1887
ORANGE county
Map

Issuance Date

October 31, 1997

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
8:28:14 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANAHEIM GENTAL DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2649 Primary Status: Cancelled

Address :
408 S. BEACH BLVD SUITE 104
ANAHEIM CA 92804
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANAHEIM GENTAL DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2712 Primary Status: Cancelled

Address :
408 S. BEACH BLVD SUITE 104
ANAHEIM CA 92804
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WYNN PLEASANT DENTISTRY, DENTAL OFFICE OF MICHAEL M. WYNN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 11564 Primary Status: Current - Active

Address :
408 S BEACH BLVD STE 210
ANAHEIM CA 92804
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WYNN PLEASANT DENTISTRY, A DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 5792 Primary Status: Cancelled

Address :
408 S BEACH BLVD, STE 104
ANAHEIM CA 92804
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: WYNN PLEASANT DENTISTRY, DENTAL OFFICE OF MICHAEL M. WYNN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 11564 Primary Status: Current - Active

Address :
408 S BEACH BLVD STE 210
ANAHEIM CA 92804
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: ANAHEIM GENTAL DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2712 Primary Status: Cancelled

Address :
408 S. BEACH BLVD SUITE 104
ANAHEIM CA 92804
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: ANAHEIM GENTAL DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2649 Primary Status: Cancelled

Address :
408 S. BEACH BLVD SUITE 104
ANAHEIM CA 92804
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: WYNN PLEASANT DENTISTRY, A DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 5792 Primary Status: Cancelled

Address :
408 S BEACH BLVD, STE 104
ANAHEIM CA 92804
ORANGE COUNTY

Map

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