Dental Board of California
Licensing details for: 17932
Name: LOTUS DENTAL SPECIALISTS DENTAL GROUP OF SON NGUYEN, D.D.S., INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: SON NGUYEN DDS, INC.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, SON VAN
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, SON VAN
License/Registration Type: Dentist License
License Number: 43049 Primary Status: Current - Active
Address :
8338 Valley Blvd
ROSEMEAD CA 91770-1636
LOS ANGELES COUNTY
