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Licensing details for: 55124

Name: HENRIOD, JOEL B

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

72 N Hill Ave
PASADENA CA 91106-1905
LOS ANGELES county
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Issuance Date

October 10, 2006

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
3:10:45 PM

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: JOEL HENRIOD, DDS

License/Registration Type: Additional Office Permit

License Number: 80030 Primary Status: Expired

Address :
2648 JAMACHA ROAD #166
EL CAJON CA 92019
SAN DIEGO COUNTY

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CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: HENRIOD, JOEL B

License/Registration Type: Conscious Sedation Permit

License Number: 656 Primary Status: Cancelled

Address :
72 N. Hill Ave.
PASADENA CA 91106
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PASADENA PERIODONTICS AND IMPLANT DENTISTRY, DENTAL OFFICE OF MIL

License/Registration Type: Fictitious Name Permit

License Number: 11065 Primary Status: Cancelled

Address :
72 NORTH HILL AVENUE
PASADENA CA 91106
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SAN DIEGO CHILDREN'S DENTISTRY DENTAL GROUP OF NATHAN CHRISTENSEN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14933 Primary Status: Expired

Address :
12324 OAK KNOLL RD
POWAY CA 92064
SAN DIEGO COUNTY

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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 PERIODONTICS AND IMPLANT DENTISTRY, DENTAL OFFICE OF MIL

License/Registration Type: Fictitious Name Permit

License Number: 11065 Primary Status: Cancelled

Address :
72 NORTH HILL AVENUE
PASADENA CA 91106
LOS ANGELES COUNTY

Map

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: SAN DIEGO CHILDREN'S DENTISTRY DENTAL GROUP OF NATHAN CHRISTENSEN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14933 Primary Status: Expired

Address :
12324 OAK KNOLL RD
POWAY CA 92064
SAN DIEGO COUNTY

Map

MS 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: Moderate Sedation Permit

Name: Henriod, Joel Barrett

License/Registration Type: Moderate Sedation Permit

License Number: 601 Primary Status: Current - Active

Address :
72 N Hill Ave
72 N Hill Avenue
PASADENA CA 91106-1905
LOS ANGELES COUNTY

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