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Licensing details for: 7098

Name: MECCA DENTAL GROUP, KIET TRAN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: KIET TRAN DDS, INC. DBA MECCA DENTAL GROUP

Address of Record

65-100 DATE PALM BLDG. L
MECCA CA 92274
RIVERSIDE county
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Issuance Date

September 14, 2007

Expiration Date

May 31, 2016

Current Date / Time

June 6, 2025
9:9:55 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TRAN, KIET MINH

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: TRAN, KIET MINH

License/Registration Type: Dentist License

License Number: 44552 Primary Status: Current - Active

Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY

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