Dental Board of California
Licensing details for: 239
Name: MILLEDGE, JAMES TODD
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
4001 SUMMITVIEW AVE
STE 5-178
YAKIMA WA 98908
YAKIMA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LOMA LINDA CHILDREN'S DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1143 Primary Status: Cancelled
Address :
DENTAL PRACTICE OF WILFRED NATION DDS
25455 BARTON RD STE 205B
LOMA LINDA CA 92354
SAN BERNARDINO 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: MILLEDGE, JAMES TODD
License/Registration Type: Dentist License
License Number: 36101 Primary Status: Cancelled
Address :
4001 SUMMITVIEW AVE
STE 5-178
YAKIMA WA 98908
YAKIMA COUNTY
