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Licensing details for: 49227

Name: THAI, BRANDON TUAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

28100 bouquet canyon road
Suite 200
SAUGUS CA 91350
LOS ANGELES county
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Issuance Date

October 25, 2001

Expiration Date

January 31, 2028

Current Date / Time

December 13, 2025
7:54:3 AM

License Relationships

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: BOUQUET SMILE DENTAL, DENTAL GROUP OF BRANDON THAI,

License/Registration Type: Fictitious Name Permit

License Number: 5615 Primary Status: Expired

Address :
28100 BOUQUET CANYON RD, STE 200
SAUGUS CA 91350
LOS ANGELES COUNTY

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