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: ADVANCED DENTAL ALISO VIEJO, DENTAL OFFICE OF NAZITA GAFF DMD, IN
License/Registration Type: Fictitious Name Permit
License Number: 11267 Primary Status: Cancelled
Address :
26831 ALISO CREEK ROAD #202
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: LAGUNA HEIGHTS DENTAL PRACTICE OF N. GAFF DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 19322 Primary Status: Current - Active
Address :
30231 GOLDEN LANTERN, STE D
LAGUNA NIGUEL CA 92677
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: SENSTATIONAL DENTAL CARE, DENTAL OFFICE OF GAFF DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 7600 Primary Status: Cancelled
Address :
3033 BRISTOL STREET
STE. AA
COSTA MESA CA 92626
ORANGE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: GAFF, NAZITA RADBAKHT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1492 Primary Status: Cancelled
Address :
23832 HILLHURST DR
LAGUNA NIGUEL CA 92677
ORANGE COUNTY
