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Licensing details for: 52101

Name: PHAM, NGHIA DINH

License Type: Dentist

Primary Status: Current - Active

Address of Record

9932 Carrara Cir
CYPRESS CA 90630-6821
ORANGE county
Map

Issuance Date

December 12, 2003

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
7:47:42 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NEW IMAGE DENTAL OFFICE OF NGHIA DINH PHAM & TRANG TO, DMD'S INC.

License/Registration Type: Fictitious Name Permit

License Number: 7223 Primary Status: Current - Active

Address :
14115 GOLDENWEST ST.
STE. A
WESTMINSTER CA 92683
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: NEW IMAGE DENTAL OFFICE OF NGHIA DINH PHAM & TRANG TO, DMD'S INC.

License/Registration Type: Fictitious Name Permit

License Number: 7223 Primary Status: Current - Active

Address :
14115 GOLDENWEST ST.
STE. A
WESTMINSTER CA 92683
ORANGE COUNTY

Map

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