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Licensing details for: 63385

Name: HUYNH, ANDREW VO

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Practice Location

10700 Santa Monica Blvd
Ste 140
LOS ANGELES CA 90025-4768
SAN DIEGO county
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11687 National Blvd
LOS ANGELES CA 90064-3801
LOS ANGELES county
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1502 Montana Ave
205
SANTA MONICA CA 90403-1855
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9450 Cuyamaca St
101
SANTEE CA 92071-5917
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Issuance Date

May 6, 2014

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
4:24:55 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: ANDREW HUYNH, DDS

License/Registration Type: Additional Office Permit

License Number: 81853 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 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

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: 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: 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

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: HUYNH, ANDREW VO

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3211 Primary Status: Cancelled

Address :
10700 Santa Monica Blvd
140
LOS ANGELES CA 90025-4768

Map

PMS to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Pediatric Minimal Sedation Permit

Name: HUYNH, ANDREW VO

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 238 Primary Status: Current - Active

Address :
1502 MONTANA AVE, #205
SANTA MONICA CA 90403
LOS ANGELES COUNTY

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