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Licensing details for: 857

Name: NGUYEN, DAVID TIEN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

13337 South St # 261
CERRITOS CA 90703-7308
ORANGE county
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Issuance Date

October 12, 2005

Expiration Date

April 30, 2023

Current Date / Time

June 6, 2025
10:20:3 AM

License Relationships

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, DAVID TIEN

License/Registration Type: Dentist License

License Number: 50798 Primary Status: Current - Active

Address :
13337 South St # 261
CERRITOS CA 90703-7308
LOS ANGELES COUNTY

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