Dental Board of California
Licensing details for: 6425
Name: VITALAE DENTAL SPA, A DENTAL GROUP OF BUI DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: VITALAE DENTAL SPA
Address of Record
2500 ALTON PARKWAY, STE. 208
IRVINE CA 92606
ORANGE county
Map
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: BUI, CECILIA MY-KHANH
License/Registration Type: Dentist License
License Number: 39255 Primary Status: Current - Active
Address :
10042 Lampson Ave
GARDEN GROVE CA 92840-4703
ORANGE COUNTY
