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Licensing details for: 63395

Name: TRUONG, AN VAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1345 Sun Dial Dr
TUSTIN CA 92782-1723
ORANGE county
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Practice Location

3963 Portola Pkwy
IRVINE CA 92602-0833
ORANGE county
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Issuance Date

May 8, 2014

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
11:42:3 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: MINT ORTHODONTICS DENTAL PRACTICE OF PETER AN TRUONG, DDS, MS INC.

License/Registration Type: Fictitious Name Permit

License Number: 18899 Primary Status: Current - Active

Address :
3963 PORTOLA PKWY
IRVINE CA 92602-0833
ORANGE COUNTY

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