Dental Board of California
Licensing details for: 5597
Name: UNIVERSAL DENTAL GROUP, TRAN & NGUYEN A PROFESSIONAL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1434 S SAN GABRIEL BLVD
SAN GABRIEL CA 91776
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, DAVE HOAIPHUONG
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, KAREN CAM
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, KAREN CAM
License/Registration Type: Dentist License
License Number: 51146 Primary Status: Current - Active
Address :
841 w 19 st
# c
COSTA MESA CA 92627
ORANGE COUNTY
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, DAVE HOAIPHUONG
License/Registration Type: Dentist License
License Number: 52761 Primary Status: Current - Active
Address :
13400 Newport Ave Ste B
TUSTIN CA 92780-3753
ORANGE COUNTY
