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Licensing details for: 10607

Name: SON NGUYEN, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LOTUS DENTAL SPECIALISTS

Address of Record

8905 E. VALLEY BLVD.
ROSEMEAD CA 91770
LOS ANGELES county
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Issuance Date

November 7, 2011

Expiration Date

December 31, 2014

Current Date / Time

June 6, 2025
2:17:51 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: NGUYEN, SON VAN

License/Registration Type: Dentist License

License Number: 43049 Primary Status: Current - Active

Address :
8338 Valley Blvd
ROSEMEAD CA 91770-1636
LOS ANGELES COUNTY

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