Dental Board of California
Licensing details for: 45507
Name: NGUYEN, DUC SY
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Address not disclosed
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ANH LE & NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8772 Primary Status: Cancelled
Address :
1721 STORY RD
SAN JOSE CA 95122
SANTA CLARA 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: NGUYEN YOUTHFUL TOOTH AND GENTLE DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 5298 Primary Status: Cancelled
Address :
39411 FREMONT BLVD
FREMONT CA 94538
ALAMEDA 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, DUC SY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 844 Primary Status: Cancelled
Address :
39411 FREMONT BLVD
FREMONT CA 94538
ALAMEDA COUNTY
