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Licensing details for: 6812

Name: DENTAL PACIFICA, DENTAL OFFICE OF VU & NGO, A PROF. DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: DENTAL PACIFICA

Address of Record

3340 W. BALL RD.
STE. G
ANAHEIM CA 92804
ORANGE county
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Issuance Date

April 6, 2007

Expiration Date

February 28, 2015

Current Date / Time

June 6, 2025
9:51:3 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGO, THUC XUAN

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: NGO, THUC XUAN

License/Registration Type: Dentist License

License Number: 47645 Primary Status: Current - Active

Address :
15251 E. GALE AVE
CITY OF INDUSTRY CA 91745
LOS ANGELES COUNTY

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