Dental Board of California
Licensing details for: 47127
Name: MEHRDAD, FARZIN
License Type: Dentist
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEACH CITIES DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3211 Primary Status: Current - Active
Address :
1801 SOLAR DRIVE
OXNARD CA 93030
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COASTAL FAMILY DENTAL OFFICE OF FARZIN MEHRDAD, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8515 Primary Status: Cancelled
Address :
1175 BAKER STREET
STE A-4
COSTA MESA CA 92626
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: BEACH CITIES DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3211 Primary Status: Current - Active
Address :
1801 SOLAR DRIVE
OXNARD CA 93030
VENTURA 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: COASTAL FAMILY DENTAL OFFICE OF FARZIN MEHRDAD, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8515 Primary Status: Cancelled
Address :
1175 BAKER STREET
STE A-4
COSTA MESA CA 92626
ORANGE COUNTY
