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Licensing details for: 1638

Name: NGUYEN, MAU KHAC-MINH

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: NGUYEN, MAU K

Address of Record

27180 NEWPORT RD
STE 2
MENIFEE CA 92584
RIVERSIDE county
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Issuance Date

September 30, 2008

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
8:44:13 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PACIFIC DENTAL GROUP, LYNDA WATANABE AND MAU NGUYEN DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 6293 Primary Status: Cancelled

Address :
31754 U.S. HIGHWAY 79 SOUTH
TEMECULA CA 92592
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NEWPORT COMMONS DENTAL CARE, DENTAL OFFICE OF M.K. NGUYEN, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 8406 Primary Status: Current - Active

Address :
27180 NEWPORT ROAD
STE. B
MENIFEE CA 92584
RIVERSIDE COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: NGUYEN, MAU KHAC-MINH

License/Registration Type: Dentist License

License Number: 48523 Primary Status: Current - Active

Address :
27180 Newport Rd
Ste. 2
MENIFEE CA 92584
RIVERSIDE COUNTY

Map

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