Dental Board of California
Licensing details for: 12870
Name: SIMPLY DENTISTRY DENTAL PRACTICE OF KHOI BINH NGUYEN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, KHOI BINH
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, KHOI BINH
License/Registration Type: Dentist License
License Number: 48754 Primary Status: Current - Active
Address :
17602 17th St
Unit 105
TUSTIN CA 92780-1961
ORANGE COUNTY
