Dental Board of California
Licensing details for: 47417
Name: SHAHZADI, FARHANG
License Type: Dentist
Primary Status: Current - Active
Address of Record
24541 Pacific Park Dr
SUITE 105
ALISO VIEJO CA 92656-3065
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALISO NIGUEL DENTAL GROUP, MARK J WILSON, DDS &
License/Registration Type: Fictitious Name Permit
License Number: 5316 Primary Status: Cancelled
Address :
24541 PACIFIC PARK DR
STE 105
ALISO VIEJO CA 92656
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALISO NIGUEL DENTAL GROUP SHAHZADI DENTAL, A PROFESSIONAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18148 Primary Status: Current - Active
Address :
24541 PACIFIC PARK DRIVE SUITE 105
ALISO VIEJO CA 92656-3050
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALISO NIGUEL DENTAL GROUP, SHAHZADI & DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 14053 Primary Status: Expired
Address :
24541 PACIFIC PARK DR STE 105
ALISO VIEJO CA 92656
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: ALISO NIGUEL DENTAL GROUP SHAHZADI DENTAL, A PROFESSIONAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18148 Primary Status: Current - Active
Address :
24541 PACIFIC PARK DRIVE SUITE 105
ALISO VIEJO CA 92656-3050
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: ALISO NIGUEL DENTAL GROUP, SHAHZADI & DIAZ DDS
License/Registration Type: Fictitious Name Permit
License Number: 14053 Primary Status: Expired
Address :
24541 PACIFIC PARK DR STE 105
ALISO VIEJO CA 92656
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: ALISO NIGUEL DENTAL GROUP, MARK J WILSON, DDS &
License/Registration Type: Fictitious Name Permit
License Number: 5316 Primary Status: Cancelled
Address :
24541 PACIFIC PARK DR
STE 105
ALISO VIEJO CA 92656
ORANGE COUNTY
