Dental Board of California
Licensing details for: 57891
Name: NGUYEN, JIMMY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
7120 INDIANA AVE
SUITE B
RIVERSIDE CA 92504
RIVERSIDE county
Map
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: JIMMY NGUYEN, D.D.S., INC
License/Registration Type: Additional Office Permit
License Number: 80719 Primary Status: Expired
Address :
13089 PEYTON DR SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO 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: MELODY DENTAL CARE DENTAL OFFICE OF JIMMY NGUYEN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16701 Primary Status: Current - Active
Address :
7120 INDIANA AVE STE B
RIVERSIDE CA 92504
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, JIMMY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2692 Primary Status: Cancelled
Address :
7120 Indiana Ave
STE B
RIVERSIDE CA 92504-4562
RIVERSIDE COUNTY
