Dental Board of California
Licensing details for: 16934
Name: ORANGE DENTAL AND SPECIALISTS DENTAL OFFICE OF THAI, NGUYEN AND TRUONG DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRUONG, STEVEN HUNG QUOC
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, ANDREW TUAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PHUNG, CHRISTINE THU
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VO, HONGNGA THI
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: THAI, QUANG QUYNH
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, ANDREW TUAN
License/Registration Type: Dentist License
License Number: 48521 Primary Status: Current - Active
Address :
4902 Irvine Center Dr
suite 101
IRVINE CA 92604-3305
ORANGE COUNTY
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: PHUNG, CHRISTINE THU
License/Registration Type: Dentist License
License Number: 46931 Primary Status: Current - Active
Address :
4902 Irvine Center Dr Ste 1
IRVINE CA 92604-3305
ORANGE COUNTY
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: THAI, QUANG QUYNH
License/Registration Type: Dentist License
License Number: 40991 Primary Status: Current - Active
Address :
7400 VAN NUYS BLVD.
SUITE 110
VAN NUYS CA 91405
LOS ANGELES COUNTY
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: TRUONG, STEVEN HUNG QUOC
License/Registration Type: Dentist License
License Number: 47427 Primary Status: Current - Active
Address :
13112 Harbor Blvd
GARDEN GROVE CA 92843-1744
ORANGE COUNTY
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: VO, HONGNGA THI
License/Registration Type: Dentist License
License Number: 47429 Primary Status: Current - Active
Address :
7400 VAN NUYS BLVD
SUITE 110
VAN NUYS CA 91405
LOS ANGELES COUNTY
