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Licensing details for: 9495

Name: YORBA LINDA SMILES DENTAL GROUP, NAM DANG DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: YORBA LINDA SMILES DENTAL GROUP

Address of Record

16691 Yorba Linda Blvd
YORBA LINDA CA 92886-2046
ORANGE county
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Practice Location

16691 YORBA LINDA BOULEVARD
YORBA LINDA CA 92886
ORANGE county
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Issuance Date

August 29, 2011

Expiration Date

June 30, 2018

Current Date / Time

October 30, 2025
1:14:28 PM

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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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