License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: HENRIOD, JOEL B
License/Registration Type: Dentist License
License Number: 55124 Primary Status: Current - Active
Address :
72 N Hill Ave
PASADENA CA 91106-1905
LOS ANGELES COUNTY
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
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
