Dental Board of California
Licensing details for: 4964
Name: FLORENCE FAMILY DENTISTRY, DENTAL GROUP OF EDISON S HAN,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4805 FLORENCE AVE
BELL CA 90201
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAN, EDISON SANGWOO
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: HAN, EDISON SANGWOO
License/Registration Type: Dentist License
License Number: 48608 Primary Status: Current - Active
Address :
153 W College St
COVINA CA 91723-2008
LOS ANGELES COUNTY
