
Dental Board of California
Licensing details for: 14933
Name: SAN DIEGO CHILDREN'S DENTISTRY DENTAL GROUP OF NATHAN CHRISTENSEN, DDS
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
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: CHRISTENSEN, NATHAN FJELDSTED
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: CHRISTENSEN, NATHAN FJELDSTED
License/Registration Type: Dentist License
License Number: 61358 Primary Status: Current - Active
Address :
10652 El Caballo Ave
SAN DIEGO CA 92127-3310
SAN DIEGO 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