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Licensing details for: 1904

Name: VU, TIEN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Previous Names: VU, TIEN D

Address of Record

5010 W 6TH ST
SANTA ANA CA 92703
ORANGE county
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Issuance Date

April 9, 2009

Expiration Date

January 31, 2012

Current Date / Time

June 7, 2025
4:30:16 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MURRIETA DENTAL GROUP, WATANABE AND VU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17624 Primary Status: Current - Active

Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
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: VU, TIEN

License/Registration Type: Dentist License

License Number: 52127 Primary Status: Current - Active

Address :
28717 Oak Park Ln
TEMECULA CA 92591-7522
ORANGE COUNTY

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