Dental Board of California
Licensing details for: 58502
Name: NGUYEN, KIM HONG
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Previous Names: LY, HONG CAM ❖ NGUYEN, HONG KIM
Address of Record
17559 Cloverdale Way
YORBA LINDA CA 92886-1949
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MINT DENTAL, PRACTICE OF KIM H. NGUYEN, DMD, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10667 Primary Status: Current - Active
Address :
16963 IMPERIAL HIGHWAY
YORBA LINDA CA 92886
ORANGE 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: MINT DENTAL, PRACTICE OF KIM H. NGUYEN, DMD, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10667 Primary Status: Current - Active
Address :
16963 IMPERIAL HIGHWAY
YORBA LINDA CA 92886
ORANGE COUNTY
