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 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
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
