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Licensing details for: 12448

Name: LEGACY DENTAL CARE DENTAL PRACTICE OF KEVIN KWAN DDS INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: LEGACY DENTAL CARE

Address of Record

6552 BOLSA AVENUE, #F
HUNTINGTON BEACH CA 92647
ORANGE county
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Issuance Date

October 8, 2015

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
2:4:36 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KWAN, KEVIN CHINGLIN

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: KWAN, KEVIN CHINGLIN

License/Registration Type: Dentist License

License Number: 61607 Primary Status: Current - Active

Address :
6552 BOLSA AVE #F
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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