Dental Board of California
Licensing details for: 3308
Name: MILLER, RONALD WADE
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
72 N. HILL AVE
PASADENA CA 91106
LOS ANGELES county
Map
License Relationships
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
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: MILLER, RONALD WADE
License/Registration Type: Dentist License
License Number: 21921 Primary Status: Cancelled
Address :
72 N HILL AVE
PASADENA CA 91106
LOS ANGELES COUNTY
