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Licensing details for: 48521

Name: NGUYEN, ANDREW TUAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

27186 NEWPORT RD STE 1
MENIFEE CA 92584
RIVERSIDE county
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Practice Location

4902 Irvine Center Dr
suite 101
IRVINE CA 92604-3305
ORANGE county
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Issuance Date

August 2, 2001

Expiration Date

August 31, 2027

Current Date / Time

June 7, 2025
2:56:1 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T NGUYEN,

License/Registration Type: Fictitious Name Permit

License Number: 5161 Primary Status: Cancelled

Address :
1096 IRVINE BLVD
TUSTIN CA 92780
ORANGE COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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

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: 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

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: 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

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: 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

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: 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

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: HEALTHY SMILE DENTISTRY, DENTAL OFFICE OF ANDREW T NGUYEN,

License/Registration Type: Fictitious Name Permit

License Number: 5161 Primary Status: Cancelled

Address :
1096 IRVINE BLVD
TUSTIN CA 92780
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: 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

Map

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