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Licensing details for: 58566

Name: NGUYEN, HENRY VU THUY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

17904 POINT LOMA STREET
FOUNTAIN VALLEY CA 92708
ORANGE county
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Issuance Date

July 29, 2009

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
4:47:47 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: HENRY NGUYEN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 11945 Primary Status: Current - Active

Address :
2393 N TUSTIN STREET
SUITE A
ORANGE CA 92865
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORANGE VILLAGE DENTISTRY DENTAL GROUP HENRY NGUYEN DENTAL CORPORA

License/Registration Type: Fictitious Name Permit

License Number: 12261 Primary Status: Current - Active

Address :
2393 N. TUSTIN STREET, SUITE A
ORANGE CA 92865
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: ORANGE VILLAGE DENTISTRY DENTAL GROUP HENRY NGUYEN DENTAL CORPORA

License/Registration Type: Fictitious Name Permit

License Number: 12261 Primary Status: Current - Active

Address :
2393 N. TUSTIN STREET, SUITE A
ORANGE CA 92865
ORANGE COUNTY

Map

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