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Licensing details for: 20168

Name: Rancho Palos Verdes Dentistry, Dental Group of Rancho Palos Verdes Dentistry, Inc.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

28901 S Western Ave, Ste 135
RANCHO PALOS VERDES CA 90275
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Issuance Date

January 23, 2026

Expiration Date

January 31, 2028

Current Date / Time

April 2, 2026
1:12:59 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: NGUYEN, BACH XUAN

License/Registration Type: Dentist License

License Number: 49784 Primary Status: Current - Active

Address :
13528 Lakewood Blv
BELLFLOWER CA 90706

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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: OATES, CHRISTOPHER COLLINS

License/Registration Type: Dentist License

License Number: 58874 Primary Status: Current - Active

Address :
1559 Pacific Coast Hwy
Ste 101
HERMOSA BEACH CA 90254-3214
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: LEE, SHAWN

License/Registration Type: Dentist License

License Number: 57783 Primary Status: Current - Active

Address :
28901 S WESTERN AVE STE. 135
RANCHO PALOS VERDES CA 90275
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: PESSAH, ARIELLA H

License/Registration Type: Dentist License

License Number: 59607 Primary Status: Current - Active

Address :
12214 Lakewood Blvd
102
DOWNEY CA 90242-2662
LOS ANGELES COUNTY

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