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Licensing details for: 7011

Name: WALNUT DENTAL GROUP, NAM DANG, D.D.S., INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

14427 CULVER DRIVE
IRVINE CA 92604
ORANGE county
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Issuance Date

August 24, 2007

Expiration Date

September 30, 2013

Current Date / Time

June 6, 2025
2:54:29 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DANG, NAM DUC

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: DANG, NAM DUC

License/Registration Type: Dentist License

License Number: 49718 Primary Status: Current - Active

Address :
18432 YORBA LINDA BLVD
YORBA LINDA CA 92782
ORANGE COUNTY

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