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Licensing details for: 3338

Name: KO, ANDY YOUNG

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

11311 MONTSERRAT STREET
CYPRESS CA 90630
ORANGE county
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Issuance Date

July 27, 2015

Expiration Date

January 31, 2019

Current Date / Time

June 6, 2025
2:19:13 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANAHEIM HILLS DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14534 Primary Status: Current - Active

Address :
5731 SANTA ANA CANYON ROAD, SUITE A
ANAHEIM CA 92807
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KIDS DENTIST DENTAL GROUP NAJAFI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14527 Primary Status: Current - Active

Address :
5701 SANTA ANA CANYON RD STE L
ANAHEIM CA 92807
ORANGE 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: KO, ANDY YOUNG

License/Registration Type: Dentist License

License Number: 64569 Primary Status: Current - Active

Address :
1178 Innisfree Ct
FULLERTON CA 92831-1064
ORANGE COUNTY

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