Dental Board of California
Licensing details for: 13201
Name: COASTAL FAMILY DENTAL PRACTICE OF DR JOHN T NGUYEN DDS
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
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: NGUYEN, JOHN THAI-HUY
License/Registration Type: Dentist License
License Number: 61994 Primary Status: Current - Active
Address :
1175 Baker St Ste A4
COSTA MESA CA 92626-4139
ORANGE COUNTY
