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Licensing details for: 81463

Name: BRIAN NGUYEN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE county
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Practice Location

6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE county
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Issuance Date

March 9, 2023

Expiration Date

N/A

Current Date / Time

December 13, 2025
3:47:43 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: KANSAGRA, BINDU B

License/Registration Type: Dentist License

License Number: 57691 Primary Status: Current - Active

Address :
14415 Culver Dr
IRVINE CA 92604-0305
ORANGE COUNTY

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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: PANDHOH, SUMEET SWAROOP

License/Registration Type: Dentist License

License Number: 51507 Primary Status: Current - Active

Address :
45 Auto Center Dr
Suite 110
FOOTHILL RANCH CA 92610-2848
ORANGE COUNTY

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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, BRIAN

License/Registration Type: Dentist License

License Number: 64309 Primary Status: Current - Active

Address :
6832 Katella Ave
CYPRESS CA 90630-5108
ORANGE COUNTY

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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: SHETTY, SWATI

License/Registration Type: Dentist License

License Number: 50587 Primary Status: Current - Active

Address :
17160 Colima Rd Ste C
HACIENDA HEIGHTS CA 91745-6785
LOS ANGELES COUNTY

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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: MAGAR, MARCOS NABIL

License/Registration Type: Dentist License

License Number: 56658 Primary Status: Current - Active

Address :
9842 Adams Ave Ste 106
HUNTINGTON BEACH CA 92646-4827
ORANGE COUNTY

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