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Licensing details for: 42577

Name: MOUSSA, RAED Z

License Type: Dentist

Primary Status: Deceased

Address of Record

5810 E TRAPPER TRAIL
ANAHEIM CA 92807
ORANGE county
Map

Issuance Date

April 26, 1995

Expiration Date

September 30, 2005

Current Date / Time

June 22, 2025
2:6:26 AM

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: RAED Z MOUSSA, DDS, PROF DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 7553 Primary Status: Cancelled

Address :
675 S SECOND AVE
COVINA CA 91723
LOS ANGELES COUNTY

Map

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: YERANUI E TUTUNDZHYAN, DDS

License/Registration Type: Additional Office Permit

License Number: 7847 Primary Status: Cancelled

Address :
6716 GREENLEAF AVE
WHITTIER CA 90601
LOS ANGELES COUNTY

Map

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: RAED Z MOUSSA, DDS, PROF DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7581 Primary Status: Cancelled

Address :
675 S SECOND AVE
COVINA CA 91723
LOS ANGELES COUNTY

Map

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: RAED Z MOUSSA, DDS, PROF DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7580 Primary Status: Cancelled

Address :
166 N MOORPARK RD, STE 302
THOUSAND OAKS CA 91360
VENTURA COUNTY

Map

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: RAED Z MOUSSA, DDS, MS, INC

License/Registration Type: Additional Office Permit

License Number: 7905 Primary Status: Cancelled

Address :
6716 GREENLEAF AVE
WHITTIER CA 90601
LOS ANGELES COUNTY

Map

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: RAED Z MOUSSA, DDS, PROF DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7573 Primary Status: Cancelled

Address :
624 S EUCLID ST
ANAHEIM CA 92802
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3563 Primary Status: Cancelled

Address :
624 S EUCLID ST
ANAHEIM CA 92802
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FAMILY ORTHODONTIC CENTER, DR RAED Z MOUSSA

License/Registration Type: Fictitious Name Permit

License Number: 4034 Primary Status: Cancelled

Address :
14930 E IMPERIAL HWY, #C
LA MIRADA CA 90638
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MOUSSA FAMILY DENTISTRY DENTAL OFFICE,

License/Registration Type: Fictitious Name Permit

License Number: 4806 Primary Status: Cancelled

Address :
3355 IOWA AVE, STE C
RIVERSIDE CA 92507
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3564 Primary Status: Cancelled

Address :
675 S SECOND ST
COVINA CA 91723
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3562 Primary Status: Cancelled

Address :
14930 E IMPERIAL HWY, STE C
LA MIRADA CA 90638
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MOUSSA-OUBEID FAMILY DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3356 Primary Status: Cancelled

Address :
3355 IOWA STREET , SUITE C
RIVERSIDE CA 92507
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: UPTOWN SMILES DENTAL GROUP, RAED Z MOUSSA,

License/Registration Type: Fictitious Name Permit

License Number: 4014 Primary Status: Cancelled

Address :
6716 GREENLEAF AVE
WHITTIER CA 90601
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3565 Primary Status: Cancelled

Address :
166 N MOORPARK RD
THOUSAND OAKS CA 91360
VENTURA COUNTY

Map

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: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3564 Primary Status: Cancelled

Address :
675 S SECOND ST
COVINA CA 91723
LOS ANGELES COUNTY

Map

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: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3563 Primary Status: Cancelled

Address :
624 S EUCLID ST
ANAHEIM CA 92802
ORANGE COUNTY

Map

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: UPTOWN SMILES DENTAL GROUP, RAED Z MOUSSA,

License/Registration Type: Fictitious Name Permit

License Number: 4014 Primary Status: Cancelled

Address :
6716 GREENLEAF AVE
WHITTIER CA 90601
LOS ANGELES COUNTY

Map

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: MOUSSA-OUBEID FAMILY DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3356 Primary Status: Cancelled

Address :
3355 IOWA STREET , SUITE C
RIVERSIDE CA 92507
RIVERSIDE COUNTY

Map

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: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3565 Primary Status: Cancelled

Address :
166 N MOORPARK RD
THOUSAND OAKS CA 91360
VENTURA COUNTY

Map

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: FAMILY ORTHODONTIC CENTER, DR RAED Z MOUSSA

License/Registration Type: Fictitious Name Permit

License Number: 4034 Primary Status: Cancelled

Address :
14930 E IMPERIAL HWY, #C
LA MIRADA CA 90638
LOS ANGELES COUNTY

Map

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: MOUSSA FAMILY DENTISTRY DENTAL OFFICE,

License/Registration Type: Fictitious Name Permit

License Number: 4806 Primary Status: Cancelled

Address :
3355 IOWA AVE, STE C
RIVERSIDE CA 92507
RIVERSIDE COUNTY

Map

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: FAMILY ORTHODONTIC CENTER, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3562 Primary Status: Cancelled

Address :
14930 E IMPERIAL HWY, STE C
LA MIRADA CA 90638
LOS ANGELES COUNTY

Map

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