Dental Board of California
Licensing details for: 1143
Name: LOMA LINDA CHILDREN'S DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
DENTAL PRACTICE OF WILFRED NATION DDS
25455 BARTON RD STE 205B
LOMA LINDA CA 92354
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NICHOLS, RICK JASON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NATION, WILFRED
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MILLEDGE, JAMES TODD
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: NICHOLS, RICK JASON
License/Registration Type: Dentist License
License Number: 40973 Primary Status: Current - Active
Address :
104 E OLIVE AVE #200
REDLANDS CA 92373
SAN BERNARDINO 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: 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
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: NATION, WILFRED
License/Registration Type: Dentist License
License Number: 26316 Primary Status: Deceased
Address :
25455 BARTON ROAD STE 205B
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY
