Dental Board of California
Licensing details for: 1356
Name: HAN, EDISON SANGWOO
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Previous Names: HAN, EDISON S
Address of Record
8183 PEPPER CIRCLE
BUENA PARK CA 90620
ORANGE 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: 8597 Primary Status: Current - Active
Address :
147-153 WEST COLLEGE STREET
COVINA CA 91723
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
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: HAN, EDISON SANGWOO
License/Registration Type: Dentist License
License Number: 48608 Primary Status: Current - Active
Address :
153 W College St
COVINA CA 91723-2008
LOS ANGELES COUNTY
