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Licensing details for: 63276

Name: LUONG, BRIAN TUAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: LUONG, BRIAN LUONG

Address of Record

500 Westover Dr # 31643
SANFORD NC 27330-8941
LEE county
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Issuance Date

February 20, 2014

Expiration Date

September 30, 2025

Current Date / Time

June 7, 2025
2:12:55 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE HILLS SMILE LAB, THE DENTAL OFFICE OF DR. LEE AND DR. LUONG

License/Registration Type: Fictitious Name Permit

License Number: 14955 Primary Status: Current - Active

Address :
5753 E. SANTA ANA CANYON ROAD #K
ANAHEIM CA 92807
ORANGE 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: THE HILLS SMILE LAB, THE DENTAL OFFICE OF DR. LEE AND DR. LUONG

License/Registration Type: Fictitious Name Permit

License Number: 14955 Primary Status: Current - Active

Address :
5753 E. SANTA ANA CANYON ROAD #K
ANAHEIM CA 92807
ORANGE COUNTY

Map

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