Dental Board of California
Licensing details for: 32465
Name: HENKEN, EDMOND HERBERT
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HENKEN & KENNEDY ORTHODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 7497 Primary Status: Cancelled
Address :
1171 PUERTA DEL SOL
STE. B
SAN CLEMENTE CA 92673
ORANGE 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: HENKEN & KENNEDY ORTHODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 7497 Primary Status: Cancelled
Address :
1171 PUERTA DEL SOL
STE. B
SAN CLEMENTE CA 92673
ORANGE COUNTY
