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Licensing details for: 62565

Name: NGUYEN, BRIAN THANG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6897 Katella Ave
CYPRESS CA 90630-5107
ORANGE county
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Practice Location

6897 Katella Ave
CYPRESS CA 90630-5107
ORANGE county
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Issuance Date

July 11, 2013

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
11:6:22 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CYPRESS MODERN SMILES DENTAL PRACTICE OF BRIAN T NGUYEN DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 14539 Primary Status: Current - Active

Address :
6897 KATELLA AVE
CYPRESS CA 90630
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: CYPRESS MODERN SMILES DENTAL PRACTICE OF BRIAN T NGUYEN DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 14539 Primary Status: Current - Active

Address :
6897 KATELLA AVE
CYPRESS CA 90630
ORANGE COUNTY

Map

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