Dental Board of California
Licensing details for: 48608
Name: HAN, EDISON SANGWOO
License Type: Dentist
Primary Status: Current - Active
Previous Names: HAN, EDISON S
Address of Record
153 W College St
COVINA CA 91723-2008
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FLORENCE FAMILY DENTISTRY, DENTAL GROUP OF EDISON S HAN,
License/Registration Type: Fictitious Name Permit
License Number: 4964 Primary Status: Cancelled
Address :
4805 FLORENCE AVE
BELL CA 90201
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COLLEGE STREET FAMILY DENTAL GROUP, EDISON S. HAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 18523 Primary Status: Current - Active
Address :
147 WEST COLLEGE STREET
COVINA CA 91723-2008
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COLLEGE STREET FAMILY DENTAL GROUP, EDISON S. HAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8597 Primary Status: Current - Active
Address :
147-153 WEST COLLEGE STREET
COVINA CA 91723
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: COLLEGE STREET FAMILY DENTAL GROUP, EDISON S. HAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8597 Primary Status: Current - Active
Address :
147-153 WEST COLLEGE STREET
COVINA CA 91723
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: COLLEGE STREET FAMILY DENTAL GROUP, EDISON S. HAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 18523 Primary Status: Current - Active
Address :
147 WEST COLLEGE STREET
COVINA CA 91723-2008
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: FLORENCE FAMILY DENTISTRY, DENTAL GROUP OF EDISON S HAN,
License/Registration Type: Fictitious Name Permit
License Number: 4964 Primary Status: Cancelled
Address :
4805 FLORENCE AVE
BELL CA 90201
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: HAN, EDISON SANGWOO
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1356 Primary Status: Cancelled
Address :
8183 PEPPER CIRCLE
BUENA PARK CA 90620
ORANGE COUNTY
