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Licensing details for: 17849

Name: RADIX ENDODONTICS DENTAL GROUP OF KO AND NAM, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1317 W. FOOTHILL BLVD., STE 138
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

1317 W. FOOTHILL BLVD., STE 138
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

May 17, 2023

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
2:0:55 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NAM, DONGBIN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KO, MOON-HEE

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: NAM, DONGBIN

License/Registration Type: Dentist License

License Number: 49944 Primary Status: Current - Active

Address :
1317 W. Foothill Blvd.
Suite #138
UPLAND CA 91786
SAN BERNARDINO COUNTY

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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: KO, MOON-HEE

License/Registration Type: Dentist License

License Number: 49915 Primary Status: Current - Active

Address :
1317 W Foothill Blvd
Suite 138
UPLAND CA 91786-3676
SAN BERNARDINO COUNTY

Map

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