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Licensing details for: 394

Name: TRAN, KIET MINH

License Type: Conscious Sedation

Primary Status: Cancelled

Previous Names: TRAN, KIET

Address of Record

16027 Brookhurst St # I160
FOUNTAIN VALLEY CA 92708-1551
ORANGE county
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Issuance Date

May 23, 2001

Expiration Date

May 31, 2024

Current Date / Time

June 6, 2025
1:18:58 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: TRAN, KIET MINH

License/Registration Type: Dentist License

License Number: 44552 Primary Status: Current - Active

Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEARLY SMILE DENTAL PRACTICE OF NGUYENTRAN DDS., CORP

License/Registration Type: Fictitious Name Permit

License Number: 16305 Primary Status: Expired

Address :
16052 BEACH BLVD STE 120
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DATE DENTAL.COM, DENTAL OFFICE OF KIET TRAN, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 6479 Primary Status: Cancelled

Address :
26636 MARGARITA RD.
STE. 102
MURRIETA CA 92563
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: COACHELLA DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3461 Primary Status: Cancelled

Address :
51-807 HARRISON, STE 102-103
COACHELLA CA 92236
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MECCA DENTAL GROUP, KIET TRAN, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7098 Primary Status: Cancelled

Address :
65-100 DATE PALM BLDG. L
MECCA CA 92274
RIVERSIDE COUNTY

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