Dental Board of California
Licensing details for: 64012
Name: HUYNH, JIMMY KUO
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
2995 Clairemont Dr
Suite A
SAN DIEGO CA 92117-6766
SAN DIEGO county
Map
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: HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80198 Primary Status: Current - Active
Address :
2995 CLAIREMONT DRIVE, SUITE A
SAN DIEGO CA 92117
SAN DIEGO COUNTY
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: HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79119 Primary Status: Cancelled
Address :
2995 Clairemont Dr
SUITE A
SAN DIEGO CA 92117-6766
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAY PARK SMILES DENTISTRY DENTAL GROUP HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15134 Primary Status: Current - Active
Address :
2995 CLAIREMONT DRIVE, SUITE A
SAN DIEGO CA 92117
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAY PARK SMILES DENTISTRY DENTAL GROUP HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13120 Primary Status: Cancelled
Address :
2995 Clairemont Dr
SUITE A
SAN DIEGO CA 92117-6766
SAN DIEGO COUNTY
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: BAY PARK SMILES DENTISTRY DENTAL GROUP HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13120 Primary Status: Cancelled
Address :
2995 Clairemont Dr
SUITE A
SAN DIEGO CA 92117-6766
SAN DIEGO COUNTY
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: BAY PARK SMILES DENTISTRY DENTAL GROUP HUYNH AND HABASHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15134 Primary Status: Current - Active
Address :
2995 CLAIREMONT DRIVE, SUITE A
SAN DIEGO CA 92117
SAN DIEGO COUNTY
