Dental Board of California
Licensing details for: 4384
Name: CLAIREMONT PEDIATRIC DENTAL OFFICE, KHUONG NGUYEN, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
4320 GENESEE AVE, #106
SAN DIEGO CA 92117
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, KHUONG HUU
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: NGUYEN, KHUONG HUU
License/Registration Type: Dentist License
License Number: 44965 Primary Status: Current - Active
Address :
3028 McCall St
SAN DIEGO CA 92106-3423
SAN DIEGO COUNTY
