Dental Board of California
Licensing details for: 101138
Name: NIA, SINA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: VAHDATINIA, SINA
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MORENO VALLEY DENTIST DENTAL OFFICE OF DR. NIA
License/Registration Type: Fictitious Name Permit
License Number: 19144 Primary Status: Current - Active
Address :
12810 HEACOCK ST.. SUITE B103
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MORENO VALLEY DENTIST DENTAL OFFICE OF DR. NIA
License/Registration Type: Fictitious Name Permit
License Number: 19144 Primary Status: Current - Active
Address :
12810 HEACOCK ST.. SUITE B103
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
