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Licensing details for: 20836

Name: Long Beach Kids' Dentistry Dental Group of Long Beach Kids' Dentistry, Prof. Corp.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

7603 Carson Blvd.
LONG BEACH CA 90808
LOS ANGELES county
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Issuance Date

July 22, 2026

Expiration Date

July 31, 2028

Current Date / Time

September 8, 2026
8:52:13 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: WU, STEVEN

License/Registration Type: Dentist License

License Number: 64940 Primary Status: Current - Active

Address :
7370 Carson Blvd
7370 Carson Blvd
LONG BEACH CA 90808-2360
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: 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: CHOW, CAROLYN

License/Registration Type: Dentist License

License Number: 108842 Primary Status: Current - Active

Address :
7603 Carson Blvd
LONG BEACH CA 90808-2367
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: 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: 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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