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Licensing details for: 4402

Name: FAMILY DENTISTRY, DENTAL OFFICE OF KIET T NGUYEN, DMD

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

9864 KATELLA AVE
ANAHEIM CA 92804
ORANGE county
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Issuance Date

July 30, 2003

Expiration Date

April 30, 2028

Current Date / Time

June 5, 2026
5:41:35 PM

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, KIET TUAN

License/Registration Type: Dentist License

License Number: 49169 Primary Status: Current - Active

Address :
9864 KATELLA AVE
ANAHEIM CA 92804
ORANGE COUNTY

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