
Dental Board of California
Licensing details for: 48523
Name: NGUYEN, MAU KHAC-MINH
License Type: Dentist
Primary Status: Current - Active
Previous Names: NGUYEN, MAU K
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PACIFIC DENTAL GROUP, LYNDA WATANABE AND MAU NGUYEN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 6293 Primary Status: Cancelled
Address :
31754 U.S. HIGHWAY 79 SOUTH
TEMECULA CA 92592
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NEWPORT COMMONS DENTAL CARE, DENTAL OFFICE OF M.K. NGUYEN, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 8406 Primary Status: Current - Active
Address :
27180 NEWPORT ROAD
STE. B
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: PACIFIC DENTAL GROUP, LYNDA WATANABE AND MAU NGUYEN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 6293 Primary Status: Cancelled
Address :
31754 U.S. HIGHWAY 79 SOUTH
TEMECULA CA 92592
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: NEWPORT COMMONS DENTAL CARE, DENTAL OFFICE OF M.K. NGUYEN, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 8406 Primary Status: Current - Active
Address :
27180 NEWPORT ROAD
STE. B
MENIFEE CA 92584
RIVERSIDE 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, MAU KHAC-MINH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1638 Primary Status: Current - Active
Address :
27180 NEWPORT RD
STE 2
MENIFEE CA 92584
RIVERSIDE COUNTY