Dental Board of California
Licensing details for: 28413
Name: WYNDHAMSMITH, DAVID RICHARD
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Public Reprimand ❖ Reduced Renewal Fee
Address of Record
1092 E Green St
PASADENA CA 91106-2506
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DAVID R WYNDHAMSMITH, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8566 Primary Status: Cancelled
Address :
1060 E GREEN ST, STE 203
PASADENA CA 91106
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DAVID R. WYNDHAMSMITH, DDS., INC.
License/Registration Type: Additional Office Permit
License Number: 6065 Primary Status: Cancelled
Address :
23838 VALENCIA BLVD.
SUITE 301
VALENCIA CA 91355
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: WYNDHAMSMITH AND KIM, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7893 Primary Status: Cancelled
Address :
639 S ESCONDIDO BLVD
ESCONDIDO CA 92025
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DAVID R WYNDHAMSMITH & MICHAEL D KIM, A PROFESSIONAL
License/Registration Type: Additional Office Permit
License Number: 8521 Primary Status: Cancelled
Address :
512 VIA DE LA VALLE, STE 101
SOLANA BEACH CA 92075
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ACACIA DENTAL CARE, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4095 Primary Status: Cancelled
Address :
639 S ESCONDIDO BLVD
ESCONDIDO CA 92025
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DEL MAR DENTAL GROUP, DAVID R WYNDHAMSMITH AND MICHAEL D
License/Registration Type: Fictitious Name Permit
License Number: 5547 Primary Status: Cancelled
Address :
512 VIA DE LA VALLE, STE 101
SOLANA BEACH CA 92075
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PASADENA MEDICAL/DENTAL SPECIALISTS,
License/Registration Type: Fictitious Name Permit
License Number: 5652 Primary Status: Cancelled
Address :
1060 E GREEN ST, STE 203
PASADENA CA 91106
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL CARE,DENTAL PRACTICE OF DAVID R.WYNDHAMSMITH, DDS
License/Registration Type: Fictitious Name Permit
License Number: 1971 Primary Status: Cancelled
Address :
23838 VALENCIA BLVD.
SUITE 301
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PASADENA DENTAL CARE, PRACTICE OF DAVID R. WYNDHAMSMITH, DDS
License/Registration Type: Fictitious Name Permit
License Number: 2106 Primary Status: Expired
Address :
1092 EAST GREEN STREET
PASADENA CA 91106
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PASADENA DENTAL CARE, PRACTICE OF DAVID R. WYNDHAMSMITH, DDS
License/Registration Type: Fictitious Name Permit
License Number: 2106 Primary Status: Expired
Address :
1092 EAST GREEN STREET
PASADENA CA 91106
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL CARE,DENTAL PRACTICE OF DAVID R.WYNDHAMSMITH, DDS
License/Registration Type: Fictitious Name Permit
License Number: 1971 Primary Status: Cancelled
Address :
23838 VALENCIA BLVD.
SUITE 301
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DEL MAR DENTAL GROUP, DAVID R WYNDHAMSMITH AND MICHAEL D
License/Registration Type: Fictitious Name Permit
License Number: 5547 Primary Status: Cancelled
Address :
512 VIA DE LA VALLE, STE 101
SOLANA BEACH CA 92075
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PASADENA MEDICAL/DENTAL SPECIALISTS,
License/Registration Type: Fictitious Name Permit
License Number: 5652 Primary Status: Cancelled
Address :
1060 E GREEN ST, STE 203
PASADENA CA 91106
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ACACIA DENTAL CARE, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4095 Primary Status: Cancelled
Address :
639 S ESCONDIDO BLVD
ESCONDIDO CA 92025
SAN DIEGO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: WYNDHAMSMITH, DAVID RICHARD
License/Registration Type: General Anesthesia Permit
License Number: 1160 Primary Status: Current - Active
Address :
1092 E Green St
PASADENA CA 91106-2506
LOS ANGELES COUNTY
