Dental Board of California
Licensing details for: 2692
Name: NGUYEN, JIMMY
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MELODY DENTAL CARE DENTAL OFFICE OF JIMMY NGUYEN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16701 Primary Status: Current - Active
Address :
7120 INDIANA AVE STE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY
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, JIMMY
License/Registration Type: Dentist License
License Number: 57891 Primary Status: Current - Active
Address :
7120 INDIANA AVE
SUITE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY
