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Licensing details for: 8406

Name: NEWPORT COMMONS DENTAL CARE, DENTAL OFFICE OF M.K. NGUYEN, DDS,

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: NEWPORT COMMONS DENTAL CARE, M.K. NGUYEN, DDS, A PROFESSIONAL DENTAL CORP NEWPORT COMMONS DENTAL CARE, DENTAL PRACTICE OF M.K. NGUYEN, DDS, A PROFESSIONAL DENTAL CORPORATION

Address of Record

27180 NEWPORT ROAD
STE. B
MENIFEE CA 92584
RIVERSIDE county
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Practice Location

27180 NEWPORT ROAD
STE. B
MENIFEE CA 92584
RIVERSIDE county
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27180 Newport Rd
Ste. 2
MENIFEE CA 92584
RIVERSIDE county
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Issuance Date

September 17, 2009

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
8:7:44 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, MAU KHAC-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: NGUYEN, MAU KHAC-MINH

License/Registration Type: Dentist License

License Number: 48523 Primary Status: Current - Active

Address :
27180 Newport Rd
Ste. 2
MENIFEE CA 92584
RIVERSIDE COUNTY

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