Dental Board of California
Licensing details for: 57793
Name: MOADEL, MATTHEW NABI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3727 Royal Woods Dr
SHERMAN OAKS CA 91403-4217
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16881 Primary Status: Current - Active
Address :
137 N MONTEBELLO BLVD #H
MONTEBELLO CA 90640
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16878 Primary Status: Current - Active
Address :
137 N MONTEBELLO BLVD. #B
MONTEBELLO CA 90640
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: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16878 Primary Status: Current - Active
Address :
137 N MONTEBELLO BLVD. #B
MONTEBELLO CA 90640
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: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 16881 Primary Status: Current - Active
Address :
137 N MONTEBELLO BLVD #H
MONTEBELLO CA 90640
LOS ANGELES COUNTY
