Dental Board of California
Licensing details for: 11065
Name: PASADENA PERIODONTICS AND IMPLANT DENTISTRY, DENTAL OFFICE OF MIL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: MILLER & HENRIOD DENTAL PARTNERSHIP, DENTAL OFFICE OF DR. MILLER & HENRIOD DDS ❖ MILLER & HENRIOD DENTAL PARTNERSHIP ❖ MILLER & HENROID DENTAL PARTNERSHIP, DENTAL OFFICE OF DR. MILLER & HENRIOD DDS
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HENRIOD, JOEL B
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MILLER, RONALD WADE
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery 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
