License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RADIX ENDODONTICS DENTAL GROUP OF KO AND NAM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 17849 Primary Status: Current - Active
Address :
1317 W. FOOTHILL BLVD., STE 138
UPLAND CA 91786
SAN BERNARDINO 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: RADIX ENDODONTICS DENTAL GROUP OF KO AND NAM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 17849 Primary Status: Current - Active
Address :
1317 W. FOOTHILL BLVD., STE 138
UPLAND CA 91786
SAN BERNARDINO 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: NAM, DONGBIN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1178 Primary Status: Cancelled
Address :
257 S DE LACEY AVE
UNIT 2134
PASADENA CA 91105
LOS ANGELES COUNTY
