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Licensing details for: 12963

Name: TUSTIN BLUE DENTAL GROUP, DENTAL PRACTICE OF T. TRAN DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

13362 NEWPORT AVENUE, SUITE D
TUSTIN CA 92780
ORANGE county
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Practice Location

13362 NEWPORT AVENUE, SUITE D
TUSTIN CA 92780
ORANGE county
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Issuance Date

July 6, 2016

Expiration Date

January 31, 2026

Current Date / Time

December 13, 2025
7:55:55 AM

License Relationships

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: TRAN, TAM-HUONG NGOC

License/Registration Type: Dentist License

License Number: 42434 Primary Status: Current - Active

Address :
13362 Newport Ave
Ste D
TUSTIN CA 92780-3427
ORANGE COUNTY

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