Dental Board of California
Licensing details for: 59353
Name: AHMADI-ARDAKANI, AZADEH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LITTLE HEROES OF ORANGE COUNTY PEDIATRIC DENTISTRY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 12571 Primary Status: Expired
Address :
26534 MOULTON PARKWAY, SUITE C
LAGUNA HILLS CA 92653
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: LITTLE HEROES OF ORANGE COUNTY PEDIATRIC DENTISTRY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 12571 Primary Status: Expired
Address :
26534 MOULTON PARKWAY, SUITE C
LAGUNA HILLS CA 92653
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: AHMADI-ARDAKANI, AZADEH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2374 Primary Status: Cancelled
Address :
27581 BERDUN
MISSION VIEJO CA 92691
ORANGE COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: AHMADI-ARDAKANI, AZADEH
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 47 Primary Status: Current - Active
Address :
26534 MOULTON PKWY
LAGUNA HILLS CA 92653
ORANGE COUNTY
