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Licensing details for: 4807

Name: DR DANG PEARLY WHITE DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

16474 BOLSA CHICA RD
HUNTINGTON BEACH CA 92649
ORANGE county
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Issuance Date

March 5, 2004

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
1:37:18 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DANG, TITI NGOC DUNG

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DANG, TITI

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: DANG, TITI NGOC DUNG

License/Registration Type: Dentist License

License Number: 48251 Primary Status: Current - Active

Address :
16474 BOLSA CHICA ST
HUNTINGTON BEACH CA 92649
ORANGE COUNTY

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