Dental Board of California
Licensing details for: 60768
Name: DAVOODIAN, BITA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1959 Kingsdale Ave
REDONDO BEACH CA 90278-3417
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEACH DENTAL CLUB DENTAL GROUP OF BITA DAVOODIAN DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 17472 Primary Status: Expired
Address :
1959 KINGSDALE AVE
REDONDO BEACH CA 90278
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: BEACH DENTAL CLUB DENTAL GROUP OF BITA DAVOODIAN DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 17472 Primary Status: Expired
Address :
1959 KINGSDALE AVE
REDONDO BEACH CA 90278
LOS ANGELES COUNTY
