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Licensing details for: 17705

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: SHINE PEDIATRIC DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

Address of Record

11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES county
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Practice Location

11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES county
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Issuance Date

March 10, 2023

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:6:27 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GARCIA-JASNY, ROGELIO MANUEL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHENG, WILLIAM JOSEPH

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHENG, NICOLE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STRANDBURG, CHRISTOPHER PAUL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HUYNH, ANDREW VO

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: GARCIA-JASNY, ROGELIO MANUEL

License/Registration Type: Dentist License

License Number: 61672 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Ste. 140
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY

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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: CHENG, NICOLE

License/Registration Type: Dentist License

License Number: 63175 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
#100
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY

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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: HUYNH, ANDREW VO

License/Registration Type: Dentist License

License Number: 63385 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Ste 140
LOS ANGELES CA 90025-4768
SAN DIEGO COUNTY

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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: CHENG, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 61674 Primary Status: Current - Active

Address :
1502 Montana Ave
Suite 205
SANTA MONICA CA 90403
LOS ANGELES COUNTY

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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: STRANDBURG, CHRISTOPHER PAUL

License/Registration Type: Dentist License

License Number: 101274 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Suite 100
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY

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