Dental Board of California
Licensing details for: 37486
Name: ROFAEL, NAWAL N MOAWAD
License Type: Dentist
Primary Status: Expired
Secondary Status: Probation Terminated
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTA MARIA DENTAL OFFICE , INC.
License/Registration Type: Fictitious Name Permit
License Number: 2115 Primary Status: Cancelled
Address :
11938 SOUTH HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES 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: SANTA MARIA DENTAL OFFICE , INC.
License/Registration Type: Fictitious Name Permit
License Number: 2115 Primary Status: Cancelled
Address :
11938 SOUTH HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES COUNTY
