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Licensing details for: 61994

Name: NGUYEN, JOHN THAI-HUY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1175 Baker St Ste A4
COSTA MESA CA 92626-4139
ORANGE county
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Issuance Date

October 15, 2012

Expiration Date

May 31, 2028

Current Date / Time

April 5, 2026
4:20:32 AM

License Relationships

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: COASTAL FAMILY DENTAL PRACTICE OF DR JOHN T NGUYEN DDS

License/Registration Type: Fictitious Name Permit

License Number: 13201 Primary Status: Current - Active

Address :
1175 BAKER STREET, SUITE A4
COSTA MESA CA 92626
ORANGE COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: SCHULTZ, NANCY NGUYEN

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1137 Primary Status: Current - Active

Address Not Disclosed

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