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Licensing details for: 10668

Name: B. NGUYEN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: BACH NGUYEN, D.D.S.

Address of Record

14427 CULVER DRIVE
IRVINE CA 92604
ORANGE county
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Issuance Date

February 27, 2012

Expiration Date

August 31, 2014

Current Date / Time

June 6, 2025
11:49:51 PM

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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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