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Licensing details for: 9611

Name: KIET TRAN, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: TRAN KIET

Address of Record

65-100 DATE PALM ST.
BLDG. L
MECCA CA 92254
RIVERSIDE county
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Issuance Date

April 7, 2008

Expiration Date

May 31, 2014

Current Date / Time

June 6, 2025
2:6:48 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: TRAN, KIET MINH

License/Registration Type: Dentist License

License Number: 44552 Primary Status: Current - Active

Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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