License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: IRVINE SMILE DENTISTRY DENTAL PRACTICE OF CHRISTINE THU PHUNG DMD INC.
License/Registration Type: Fictitious Name Permit
License Number: 17799 Primary Status: Expired
Address :
4902 IRVINE CENTER DR. #101
IRVINE CA 92604
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORANGE DENTAL AND SPECIALISTS DENTAL OFFICE OF THAI, NGUYEN AND TRUONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16934 Primary Status: Expired
Address :
574 N TUSTIN ST
ORANGE CA 92867
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T. NGUYEN INC
License/Registration Type: Fictitious Name Permit
License Number: 14943 Primary Status: Current - Active
Address :
27186 NEWPORT RD STE 1
MENIFEE CA 92584
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T. NGUYEN DMD IN
License/Registration Type: Fictitious Name Permit
License Number: 9107 Primary Status: Cancelled
Address :
30141 ANTELOPE ROAD
STE. G
MENIFEE CA 92584
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILE DENTISTRY, DR PHUNG AND DR NGUYEN
License/Registration Type: Fictitious Name Permit
License Number: 4020 Primary Status: Cancelled
Address :
1096 IRVINE BLVD
TUSTIN CA 92780
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILE DENTISTRY, DR. ANDREW T. NGUYEN, DR. LONG N. PHAN &
License/Registration Type: Fictitious Name Permit
License Number: 6404 Primary Status: Cancelled
Address :
30141 ANTELOPE RD., STE. G
MENIFEE CA 92584
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: 1)ORANGE DENTAL AND SPECIALISTS 2) HEALTHY SMILE DENTISTRY 2 DENTAL PRACTICE OF NGUYEN & PHUNG DMD INC
License/Registration Type: Fictitious Name Permit
License Number: 19425 Primary Status: Current - Active
Address :
574 N. TUSTIN STREET STE #A
ORANGE CA 92867
ORANGE 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: IRVINE SMILE DENTISTRY DENTAL PRACTICE OF CHRISTINE THU PHUNG DMD INC.
License/Registration Type: Fictitious Name Permit
License Number: 17799 Primary Status: Expired
Address :
4902 IRVINE CENTER DR. #101
IRVINE CA 92604
ORANGE 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: HEALTHY SMILE DENTISTRY, DR. ANDREW T. NGUYEN, DR. LONG N. PHAN &
License/Registration Type: Fictitious Name Permit
License Number: 6404 Primary Status: Cancelled
Address :
30141 ANTELOPE RD., STE. G
MENIFEE CA 92584
RIVERSIDE 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: ORANGE DENTAL AND SPECIALISTS DENTAL OFFICE OF THAI, NGUYEN AND TRUONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16934 Primary Status: Expired
Address :
574 N TUSTIN ST
ORANGE CA 92867
ORANGE 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: 1)ORANGE DENTAL AND SPECIALISTS 2) HEALTHY SMILE DENTISTRY 2 DENTAL PRACTICE OF NGUYEN & PHUNG DMD INC
License/Registration Type: Fictitious Name Permit
License Number: 19425 Primary Status: Current - Active
Address :
574 N. TUSTIN STREET STE #A
ORANGE CA 92867
ORANGE 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: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T. NGUYEN DMD IN
License/Registration Type: Fictitious Name Permit
License Number: 9107 Primary Status: Cancelled
Address :
30141 ANTELOPE ROAD
STE. G
MENIFEE CA 92584
RIVERSIDE 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: HEALTHY SMILE DENTISTRY, DR PHUNG AND DR NGUYEN
License/Registration Type: Fictitious Name Permit
License Number: 4020 Primary Status: Cancelled
Address :
1096 IRVINE BLVD
TUSTIN CA 92780
ORANGE 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: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T. NGUYEN INC
License/Registration Type: Fictitious Name Permit
License Number: 14943 Primary Status: Current - Active
Address :
27186 NEWPORT RD STE 1
MENIFEE CA 92584
RIVERSIDE COUNTY
