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Licensing details for: 46783

Name: DO, THANG QUOC

License Type: Dentist

Primary Status: Current - Active

Address of Record

14782 Riata St
MIDWAY CITY CA 92655-1349
ORANGE county
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Issuance Date

November 9, 1999

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
8:11:44 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MADISON SQUARE DENTISTRY, DENTAL PRACTICE OF DO DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 4990 Primary Status: Current - Active

Address :
25092 MADISON AVE
MURRIETA CA 92562-8916
RIVERSIDE 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: MADISON SQUARE DENTISTRY, DENTAL PRACTICE OF DO DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 4990 Primary Status: Current - Active

Address :
25092 MADISON AVE
MURRIETA CA 92562-8916
RIVERSIDE COUNTY

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