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Licensing details for: 12206

Name: CYPRESS SMILES DENTISTRY DENTAL PRACTICE OF NGUYEN DENTAL CORPORA

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: CYPRESS SMILES DENTISTRY PRACTICE OF NGUYEN DENTAL CORPORATION

Address of Record

10017 VALLEY VIEW STREET
CYPRESS CA 90630
ORANGE county
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Issuance Date

June 9, 2015

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
9:54:3 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, TUAN TRI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, TRINH TUAN

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, TRINH TUAN

License/Registration Type: Dentist License

License Number: 50658 Primary Status: Current - Active

Address :
1862 N Placentia Ave
PLACENTIA CA 92870-2303
ORANGE COUNTY

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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, TUAN TRI

License/Registration Type: Dentist License

License Number: 54826 Primary Status: Current - Active

Address :
13072 Willamette St
WESTMINSTER CA 92683-2138
ORANGE COUNTY

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