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Licensing details for: 18899

Name: MINT ORTHODONTICS DENTAL PRACTICE OF PETER AN TRUONG, DDS, MS INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3963 PORTOLA PKWY
IRVINE CA 92602-0833
ORANGE county
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Practice Location

3963 PORTOLA PKWY
IRVINE CA 92602-0833
ORANGE county
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Issuance Date

September 5, 2024

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
9:44:6 AM

License Relationships

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, AN VAN

License/Registration Type: Dentist License

License Number: 63395 Primary Status: Current - Active

Address :
3963 Portola Pkwy
IRVINE CA 92602-0833
ORANGE COUNTY

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