Dental Board of California
Licensing details for: 48754
Name: NGUYEN, KHOI BINH
License Type: Dentist
Primary Status: Current - Active
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: KHOI BINH NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79052 Primary Status: Expired
Address :
408 S Beach Blvd Ste 104
ANAHEIM CA 92804-1872
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIMPLY DENTISTRY DENTAL PRACTICE OF KHOI BINH NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12870 Primary Status: Expired
Address :
17602 E. 17TH STREET, #105
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: SIMPLY DENTISTRY DENTAL PRACTICE OF KHOI BINH NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12870 Primary Status: Expired
Address :
17602 E. 17TH STREET, #105
TUSTIN CA 92780
ORANGE COUNTY
