Dental Board of California
Licensing details for: 42308
Name: ETTEFAGH, FARSHAD MOHAMMED
License Type: Dentist
Primary Status: Deceased
Previous Names: EHEFAGH, FARSHAD MOHAMMED ❖ ETTEFAGH, FARSHAD
Address of Record
4150 Regents Park Row Ste 215
LA JOLLA CA 92037-1414
SAN DIEGO county
Map
License Relationships
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: REGENTS DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3142 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW SUITE 100
LA JOLLA CA 92037
SAN DIEGO COUNTY
