Dental Board of California
Licensing details for: 7982
Name: PENDLETON FAMILY DENTAL GROUP, DENTAL GROUP OF PHILLIP Z. H. KAW,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: PENDLETON DENTAL MAINSIDE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KAW, PHILLIP ZAW-HTUN
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: KAW, PHILLIP ZAW-HTUN
License/Registration Type: Dentist License
License Number: 40627 Primary Status: Current - Active
Address :
635 E Garvey Ave
MONTEREY PARK CA 91755-1910
LOS ANGELES COUNTY
