
Dental Board of California
Licensing details for: 10667
Name: MINT DENTAL, PRACTICE OF KIM H. NGUYEN, DMD, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, KIM HONG
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, KIM HONG
License/Registration Type: Dentist License
License Number: 58502 Primary Status: Current - Active
Address :
17559 Cloverdale Way
YORBA LINDA CA 92886-1949
ORANGE COUNTY