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Licensing details for: 11009

Name: NGUYEN AND REAGAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3030 Harbor Blvd Ste G1
COSTA MESA CA 92626-2562
ORANGE county
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Practice Location

3030 HARBOR BLVD., SUITE G1
COSTA MESA CA 92626
ORANGE county
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Issuance Date

May 2, 2013

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
11:19:46 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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