Dental Board of California
Licensing details for: 39783
Name: DABBAGH, MOUTAZ
License Type: Dentist
Primary Status: Current - Active
Address of Record
2424 W BALL ROAD
STE L
ANAHEIM CA 92804
ORANGE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DABBAGH AND ALTEIR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8571 Primary Status: Cancelled
Address :
10500 MAGNOLIA AVE, STE A1
STANTON CA 90680
ORANGE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DABBAGH AND ALTEIR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8551 Primary Status: Cancelled
Address :
1942 HARBOR BLVD
COSTA MESA CA 92627
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CALIFORNIA SMILE DENTAL GROUP, DABBAGH AND ALTEIR
License/Registration Type: Fictitious Name Permit
License Number: 4561 Primary Status: Current - Active
Address :
2424 W BAL RD, STE L
ANAHEIM CA 92804
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CALIFORNIA SMILE DENTAL GROUP, DABBAGH AND ALTEIR DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 6143 Primary Status: Cancelled
Address :
10500 MAGNOLIA AVE.
STE. A1
STANTON CA 90680
ORANGE 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: CALIFORNIA SMILE DENTAL GROUP, DABBAGH AND ALTEIR
License/Registration Type: Fictitious Name Permit
License Number: 4561 Primary Status: Current - Active
Address :
2424 W BAL RD, STE L
ANAHEIM CA 92804
ORANGE 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: CALIFORNIA SMILE DENTAL GROUP, DABBAGH AND ALTEIR DENTAL CORPORAT
License/Registration Type: Fictitious Name Permit
License Number: 6143 Primary Status: Cancelled
Address :
10500 MAGNOLIA AVE.
STE. A1
STANTON CA 90680
ORANGE COUNTY
