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Licensing details for: 11410

Name: NGUYEN AND GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5533-A E. STEARNS STREET
LONG BEACH CA 90815
LOS ANGELES county
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Practice Location

5533-A E. STEARNS STREET
LONG BEACH CA 90815
LOS ANGELES county
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Issuance Date

April 23, 2014

Expiration Date

June 30, 2023

Current Date / Time

June 7, 2025
10:12:38 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: LE, VICTORIA NGUYEN

License/Registration Type: Dentist License

License Number: 59604 Primary Status: Current - Active

Address :
1905 Calle Barcelona
#206
CARLSBAD CA 92009-8450

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