Dental Board of California
Licensing details for: 8597
Name: COLLEGE STREET FAMILY DENTAL GROUP, EDISON S. HAN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: COLLEGE STREET FAMILY DENTAL GROUP
License Relationships
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
