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Licensing details for: 3211

Name: HUYNH, ANDREW VO

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

10700 Santa Monica Blvd
140
LOS ANGELES CA 90025-4768
LOS ANGELES county
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Practice Location

10700 Santa Monica Blvd
140
LOS ANGELES CA 90025-4768
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1502 Montana Ave
205
SANTA MONICA CA 90403-1855
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9450 Cuyamaca St
101
SANTEE CA 92071-5917
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Issuance Date

July 23, 2014

Expiration Date

October 31, 2023

Current Date / Time

June 6, 2025
9:36:35 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISION DENTAL DENTAL PRACTICE OF STRANDBURG, CHENG, GARCIA, AND HUYNH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15460 Primary Status: Expired

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 17705 Primary Status: Current - Active

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 18746 Primary Status: Current - Active

Address :
10700 SANTA MONICA BLVD, #140
LOS ANGELES CA 90025
LOS ANGELES 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: HUYNH, ANDREW VO

License/Registration Type: Dentist License

License Number: 63385 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Ste 140
LOS ANGELES CA 90025-4768
SAN DIEGO COUNTY

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