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Licensing details for: 10114

Name: VITALAE DENTAL CARE, DENTAL PRACTICE OF CECILIA BUI, DDS, INC, A

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

11101 BROOKHURST STREET
GARDEN GROVE CA 92840
ORANGE county
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Practice Location

11101 BROOKHURST STREET
GARDEN GROVE CA 92840
ORANGE county
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Issuance Date

September 11, 2012

Expiration Date

April 30, 2016

Current Date / Time

June 3, 2026
9:58:29 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: BUI, CECILIA MY-KHANH

License/Registration Type: Dentist License

License Number: 39255 Primary Status: Current - Active

Address :
10042 Lampson Ave
GARDEN GROVE CA 92840-4703
ORANGE COUNTY

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