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Licensing details for: 58478

Name: SMITH, NICOLE ELIZABETH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: SMITH, NICOLE E

Address of Record

16071 Goldenwest St
HUNTINGTON BEACH CA 92647-3405
ORANGE county
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Issuance Date

July 16, 2009

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
3:1:39 PM

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: NICOLE SMITH DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 11723 Primary Status: Current - Active

Address :
17010 RED HILL AVENUE
SUITE D
IRVINE CA 92614
ORANGE COUNTY

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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: MAGAR AND SMITH DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79820 Primary Status: Current - Active

Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HB KIDS' DENTISTRY DENTAL GROUP MAGAR AND SMITH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14496 Primary Status: Current - Active

Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HUNTINGTON BEACH MODERN DENTISTRY DENTAL GROUP SMITH AND SHARIFIA

License/Registration Type: Fictitious Name Permit

License Number: 11314 Primary Status: Current - Active

Address :
16071 GOLDENWEST STREET
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE DENTAL OFFICE ON RED HILL, NICOLE SMITH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 11917 Primary Status: Current - Active

Address :
17010 RED HILL AVENUE
SUITE D
IRVINE CA 92614
ORANGE COUNTY

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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: THE DENTAL OFFICE ON RED HILL, NICOLE SMITH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 11917 Primary Status: Current - Active

Address :
17010 RED HILL AVENUE
SUITE D
IRVINE CA 92614
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: HB KIDS' DENTISTRY DENTAL GROUP MAGAR AND SMITH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14496 Primary Status: Current - Active

Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
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: HUNTINGTON BEACH MODERN DENTISTRY DENTAL GROUP SMITH AND SHARIFIA

License/Registration Type: Fictitious Name Permit

License Number: 11314 Primary Status: Current - Active

Address :
16071 GOLDENWEST STREET
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

Map

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