Dental Board of California
Licensing details for: 48335
Name: MOAWAD, EMAD FATHY
License Type: Dentist
Primary Status: Suspension
Secondary Status: Pc23 Suspension
Address of Record
4214 W. BEVERLY BLVD #209
LOS ANGELES CA 90004
LOS ANGELES 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: EMAD MOAWAD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79565 Primary Status: Cancelled
Address :
7631 WESTMINSTER BLVD #A
WESTMINSTER CA 92683
ORANGE COUNTY
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: E. MOAWAD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79351 Primary Status: Expired
Address :
402 S LONG BEACH BLVD
COMPTON CA 90221
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALEGRIA DENTAL CENTER, A DENTAL GROUP OF EMAD & KATERINA MOAWAD D
License/Registration Type: Fictitious Name Permit
License Number: 8646 Primary Status: Expired
Address :
4214 W. BEVERLY BLVD.
STE. 208
LOS ANGELES CA 90004
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALEGRIA DENTAL CENTER, A DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4822 Primary Status: Cancelled
Address :
4242 BEVERLY BLVD
LOS ANGELES CA 90004
LOS ANGELES 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: ALEGRIA DENTAL CENTER, A DENTAL GROUP OF EMAD & KATERINA MOAWAD D
License/Registration Type: Fictitious Name Permit
License Number: 8646 Primary Status: Expired
Address :
4214 W. BEVERLY BLVD.
STE. 208
LOS ANGELES CA 90004
LOS ANGELES 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: ALEGRIA DENTAL CENTER, A DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4822 Primary Status: Cancelled
Address :
4242 BEVERLY BLVD
LOS ANGELES CA 90004
LOS ANGELES COUNTY
