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Licensing details for: 9914

Name: COSMETIC AND DENTAL IMPLANT CENTER, DENTAL PRACTICE, TRINH TUAN NGUYEN, DMD, A DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: COSMETIC AND DENTAL IMPLANT CENTER

Address of Record

782 N. BREA BOULEVARD
BREA CA 92821
ORANGE county
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Practice Location

782 N. BREA BOULEVARD
BREA CA 92821
ORANGE county
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Issuance Date

May 11, 2012

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
10:7:57 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, TUAN TRI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NGUYEN, TRINH TUAN

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, TUAN TRI

License/Registration Type: Dentist License

License Number: 54826 Primary Status: Current - Active

Address :
13072 Willamette St
WESTMINSTER CA 92683-2138
ORANGE COUNTY

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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, TRINH TUAN

License/Registration Type: Dentist License

License Number: 50658 Primary Status: Current - Active

Address :
1862 N Placentia Ave
PLACENTIA CA 92870-2303
ORANGE COUNTY

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