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Licensing details for: 238

Name: HUYNH, ANDREW VO

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Practice Location

1502 MONTANA AVE, #205
SANTA MONICA CA 90403
LOS ANGELES county
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Issuance Date

January 23, 2024

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:8:14 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 17705 Primary Status: Current - Active

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS

License/Registration Type: Fictitious Name Permit

License Number: 18746 Primary Status: Current - Active

Address :
10700 SANTA MONICA BLVD, #140
LOS ANGELES CA 90025
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISION DENTAL DENTAL PRACTICE OF STRANDBURG, CHENG, GARCIA, AND HUYNH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15460 Primary Status: Expired

Address :
11687 NATIONAL BLVD
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: HUYNH, ANDREW VO

License/Registration Type: Dentist License

License Number: 63385 Primary Status: Current - Active

Address :
10700 Santa Monica Blvd
Ste 140
LOS ANGELES CA 90025-4768
SAN DIEGO COUNTY

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