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Licensing details for: 64309

Name: NGUYEN, BRIAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6832 Katella Ave
CYPRESS CA 90630-5108
ORANGE county
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Issuance Date

January 14, 2015

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
3:6:22 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: BRIAN NGUYEN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81463 Primary Status: Current - Active

Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CYPRESS DENTIST OFFICE DENTAL GROUP, BRIAN NGUYEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17268 Primary Status: Current - Active

Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE 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: CYPRESS DENTIST OFFICE DENTAL GROUP, BRIAN NGUYEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17268 Primary Status: Current - Active

Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY

Map

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