Dental Board of California
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
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



