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Licensing details for: 16305

Name: PEARLY SMILE DENTAL PRACTICE OF NGUYENTRAN DDS., CORP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: PEARLY SMILE DENTAL

Address of Record

16052 BEACH BLVD STE 120
HUNTINGTON BEACH CA 92647
ORANGE county
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Practice Location

16052 BEACH BLVD STE 120
HUNTINGTON BEACH CA 92647
ORANGE county
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Issuance Date

February 16, 2021

Expiration Date

May 31, 2022

Current Date / Time

June 6, 2025
2:15:17 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TRAN, KIET MINH

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: TRAN, KIET MINH

License/Registration Type: Dentist License

License Number: 44552 Primary Status: Current - Active

Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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