Dental Board of California
Licensing details for: 9612
Name: LOTUS DENTAL SPECIALISTS, DENTAL GROUP OF SON NGUYEN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: LOTUS DENTAL SPECIALISTS
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NGUYEN, SON VAN
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, SON VAN
License/Registration Type: Dentist License
License Number: 43049 Primary Status: Current - Active
Address :
8338 Valley Blvd
ROSEMEAD CA 91770-1636
LOS ANGELES COUNTY
