Dental Board of California
Licensing details for: 40714
Name: ROFAEL, MEDHAT M. RAOUF
License Type: Dentist
Primary Status: Current - Active
Previous Names: RAOUF, MEDHAT MOUNIR ❖ RAFAEL, MEDHAT M. RAOUF
Address of Record
17150 Euclid St Ste 322
FOUNTAIN VALLEY CA 92708-4092
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: ROFAEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81075 Primary Status: Expired
Address :
1417 S MAIN ST
SANTA ANA CA 92707
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: SOUTH MAIN DENTAL GROUP/MEDHAT ROFAEL
License/Registration Type: Fictitious Name Permit
License Number: 16888 Primary Status: Expired
Address :
1417 S. MAIN ST.
SANTA ANA CA 92707
ORANGE COUNTY
