Dental Board of California
Licensing details for: 14539
Name: CYPRESS MODERN SMILES DENTAL PRACTICE OF BRIAN T NGUYEN DMD, INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, BRIAN THANG
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, BRIAN THANG
License/Registration Type: Dentist License
License Number: 62565 Primary Status: Current - Active
Address :
6897 Katella Ave
CYPRESS CA 90630-5107
ORANGE COUNTY
