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Licensing details for: 10513

Name: ROSSMOOR FAMILY DENTISTRY, DENTAL PRACTICE, VU NGUYEN DMD

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Previous Names: ROSSMOOR FAMILY DENTISTRY

Address of Record

12410 SEAL BEACH BOULEVARD, STE. D2
SEAL BEACH CA 90740
ORANGE county
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Practice Location

12410 SEAL BEACH BOULEVARD, STE. D2
SEAL BEACH CA 90740
ORANGE county
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Issuance Date

June 10, 2013

Expiration Date

May 31, 2021

Current Date / Time

June 6, 2025
9:56:31 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, VU

Address Not Disclosed

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: NGUYEN, VU

License/Registration Type: Dentist License

License Number: 49949 Primary Status: Current - Active

Address :
12410 SEAL BEACH BLVD.
SUITE D2
SEAL BEACH CA 90740
ORANGE COUNTY

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