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Licensing details for: 64569

Name: KO, ANDY YOUNG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1178 Innisfree Ct
FULLERTON CA 92831-1064
ORANGE county
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Issuance Date

June 17, 2015

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
3:15:3 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KIDS DENTIST DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14527 Primary Status: Current - Active

Address :
5701 SANTA ANA CANYON RD STE L
ANAHEIM CA 92807
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANAHEIM HILLS DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14534 Primary Status: Current - Active

Address :
5731 SANTA ANA CANYON ROAD, SUITE A
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: ANAHEIM HILLS DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14534 Primary Status: Current - Active

Address :
5731 SANTA ANA CANYON ROAD, SUITE A
ANAHEIM CA 92807
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: MY KIDS DENTIST DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14527 Primary Status: Current - Active

Address :
5701 SANTA ANA CANYON RD STE L
ANAHEIM CA 92807
ORANGE 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: KO, ANDY YOUNG

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3338 Primary Status: Cancelled

Address :
11311 MONTSERRAT STREET
CYPRESS CA 90630
ORANGE COUNTY

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