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Licensing details for: 5792

Name: WYNN PLEASANT DENTISTRY, A DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

408 S BEACH BLVD, STE 104
ANAHEIM CA 92804
ORANGE county
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Issuance Date

October 7, 2005

Expiration Date

September 30, 2017

Current Date / Time

December 15, 2025
9:7:44 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: WYNN, MICHAEL MINH

License/Registration Type: Dentist License

License Number: 44900 Primary Status: Current - Active

Address :
408 S Beach Blvd Ste 210
ANAHEIM CA 92804-1887
ORANGE COUNTY

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