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Licensing details for: 63175

Name: CHENG, NICOLE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

701 Warner Ave
LOS ANGELES CA 90024-2520
LOS ANGELES county
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Practice Location

10700 Santa Monica Blvd
#100
LOS ANGELES CA 90025-4768
LOS ANGELES county
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1502 Montana Ave
#205
SANTA MONICA CA 90403-1855
LOS ANGELES county
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Issuance Date

December 20, 2013

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
3:10:35 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 18746 Primary Status: Current - Active

Address :
10700 SANTA MONICA BLVD, #140
LOS ANGELES CA 90025
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISION DENTAL DENTAL PRACTICE OF STRANDBURG, CHENG, GARCIA, AND HUYNH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15460 Primary Status: Expired

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 17705 Primary Status: Current - Active

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES 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: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 18746 Primary Status: Current - Active

Address :
10700 SANTA MONICA BLVD, #140
LOS ANGELES CA 90025
LOS ANGELES 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: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 17705 Primary Status: Current - Active

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES 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: VISION DENTAL DENTAL PRACTICE OF STRANDBURG, CHENG, GARCIA, AND HUYNH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15460 Primary Status: Expired

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

Map

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