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Licensing details for: 689

Name: TRAN, VIVIAN TIEN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

13330 BLOOMFIELD AVE
NORWALK CA 90650
LOS ANGELES county
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Issuance Date

May 19, 2004

Expiration Date

June 30, 2010

Current Date / Time

June 6, 2025
3:32:6 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GENTLEONE DENTAL DENTAL OFFICE OF VIVIAN T. TRAN, DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 18813 Primary Status: Current - Active

Address :
14137 FUNSTON AVE
NORWALK CA 90650
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GENTLE ONE DENTAL, DENTAL OFFICE OF TRAN, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7367 Primary Status: Expired

Address :
13330 BLOOMFIELD AVE.
STE. 201
NORWALK CA 90650
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: TRAN, VIVIAN TIEN

License/Registration Type: Dentist License

License Number: 51310 Primary Status: Current - Active

Address :
14137 Funston Ave
NORWALK CA 90650
LOS ANGELES COUNTY

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