Dental Board of California
Licensing details for: 5652
Name: PASADENA MEDICAL/DENTAL SPECIALISTS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1060 E GREEN ST, STE 203
PASADENA CA 91106
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WYNDHAMSMITH, DAVID RICHARD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WYNDHAMSMITH, DAVID R
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: WYNDHAMSMITH, DAVID RICHARD
License/Registration Type: Dentist License
License Number: 28413 Primary Status: Current - Active
Address :
1092 E Green St
PASADENA CA 91106-2506
LOS ANGELES COUNTY
