
Dental Board of California
Licensing details for: 16701
Name: MELODY DENTAL CARE DENTAL OFFICE OF JIMMY NGUYEN, DDS, 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, JIMMY
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, JIMMY
License/Registration Type: Dentist License
License Number: 57891 Primary Status: Current - Active
Address :
7120 INDIANA AVE
SUITE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY