Dental Board of California
Licensing details for: 44965
Name: NGUYEN, KHUONG HUU
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probationary License
Address of Record
3028 McCall St
SAN DIEGO CA 92106-3423
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLAIREMONT PEDIATRIC DENTAL OFFICE, KHUONG NGUYEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 4384 Primary Status: Cancelled
Address :
4320 GENESEE AVE, #106
SAN DIEGO CA 92117
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLAIREMONT PEDIATRIC DENTAL PRACTICE OF KHUONG NGUYEN, DDS, A PRO
License/Registration Type: Fictitious Name Permit
License Number: 10353 Primary Status: Expired
Address :
2780 CARDINAL ROAD, STE. A
SAN DIEGO CA 92123
SAN DIEGO COUNTY
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: CLAIREMONT PEDIATRIC DENTAL PRACTICE OF KHUONG NGUYEN, DDS, A PRO
License/Registration Type: Fictitious Name Permit
License Number: 10353 Primary Status: Expired
Address :
2780 CARDINAL ROAD, STE. A
SAN DIEGO CA 92123
SAN DIEGO COUNTY
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: CLAIREMONT PEDIATRIC DENTAL OFFICE, KHUONG NGUYEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 4384 Primary Status: Cancelled
Address :
4320 GENESEE AVE, #106
SAN DIEGO CA 92117
SAN DIEGO COUNTY
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: NGUYEN, KHUONG HUU
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 444 Primary Status: Cancelled
Address :
3028 McCall St
SAN DIEGO CA 92106-3423
SAN DIEGO 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: NGUYEN, KHUONG HUU
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 368 Primary Status: Current - Active
Address :
3028 McCall st.
SAN DIEGO CA 92106
SAN DIEGO COUNTY
