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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

Address of Record

16963 IMPERIAL HIGHWAY
YORBA LINDA CA 92886
ORANGE county
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Practice Location

16963 IMPERIAL HIGHWAY
YORBA LINDA CA 92886
ORANGE county
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Issuance Date

August 28, 2013

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
2:8:16 AM

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

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