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Licensing details for: 3461

Name: COACHELLA DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

51-807 HARRISON, STE 102-103
COACHELLA CA 92236
RIVERSIDE county
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Issuance Date

January 2, 2002

Expiration Date

May 31, 2006

Current Date / Time

June 6, 2025
2:11:17 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TRAN, KIET MINH

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: TRAN, KIET MINH

License/Registration Type: Dentist License

License Number: 44552 Primary Status: Current - Active

Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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