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Licensing details for: 59477

Name: TRAN, LYNDA THUY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: TRAN-CLARK, LYNDA THUY

Address of Record

849 Almar Avenue
Ste 270
SANTA CRUZ CA 95060
SANTA CRUZ county
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Issuance Date

July 13, 2010

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
3:17:3 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KAI FAMILY DENTISTRY, DENTAL PRACTICE OF LYNDA TRAN, DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 14266 Primary Status: Cancelled

Address :
550 WATER ST STE I-5
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KAI FAMILY DENTISTRY, DENTAL PRACTICE OF LYNDA TRAN-CLARK, DDS, I

License/Registration Type: Fictitious Name Permit

License Number: 11116 Primary Status: Cancelled

Address :
550 WATER STREET SUITE 15
SANTA CRUZ CA 95060
SANTA CRUZ 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: KAI FAMILY DENTISTRY, DENTAL PRACTICE OF LYNDA TRAN, DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 14266 Primary Status: Cancelled

Address :
550 WATER ST STE I-5
SANTA CRUZ CA 95060
SANTA CRUZ 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: KAI FAMILY DENTISTRY, DENTAL PRACTICE OF LYNDA TRAN-CLARK, DDS, I

License/Registration Type: Fictitious Name Permit

License Number: 11116 Primary Status: Cancelled

Address :
550 WATER STREET SUITE 15
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY

Map

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: TRAN, LYNDA THUY

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2362 Primary Status: Cancelled

Address :
3663 SOLANO AVE #2
NAPA CA 94558
NAPA COUNTY

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