Dental Board of California
Licensing details for: 53723
Name: NGUYEN, KIMMIE
License Type: Dentist
Primary Status: Current - Active
Address of Record
28717 OAK PARK LANE
TEMECULA CA 92591
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MARKETPLACE DENTAL GROUP, LYNN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19207 Primary Status: Current - Active
Address :
29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
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: MARKETPLACE DENTAL GROUP, LYNN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19207 Primary Status: Current - Active
Address :
29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
