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Licensing details for: 5813

Name: LEGACY ORTHODONTICS, DENTAL GROUP OF WILLIAM L CHEN, DDS,

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

3061 EAST EDINGER AVE
TUSTIN CA 92780
ORANGE county
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Issuance Date

November 3, 2005

Expiration Date

September 30, 2026

Current Date / Time

December 13, 2025
7:53:4 AM

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: CHEN, WILLIAM LI

License/Registration Type: Dentist License

License Number: 51049 Primary Status: Current - Active

Address :
39 MOUNT VERNON
IRVINE CA 92620
ORANGE COUNTY

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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: PHAM, SON GIA

License/Registration Type: Dentist License

License Number: 49975 Primary Status: Current - Active

Address :
3061 Edinger Ave
SUITE #A
TUSTIN CA 92780-7238
ORANGE COUNTY

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