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Licensing details for: 2032

Name: NGUYEN, JUSTIN LEE

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

1251 E Imperial Hwy
PLACENTIA CA 92870-1718
ORANGE county
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Practice Location

1251 E Imperial Hwy
PLACENTIA CA 92870-1718
ORANGE county
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Issuance Date

May 13, 2021

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
8:29:58 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: NGUYEN, JUSTIN LEE

License/Registration Type: Oral Maxillofacial Surgery Permit

License Number: 128 Primary Status: Current - Active

Address :
1251 E Imperial Hwy
PLACENTIA CA 92870-1718
ORANGE COUNTY

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