Dental Board of California
Licensing details for: 61500
Name: ABOLFAZLIAN, ARASH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: CROW CANYON ORTHODONTICS, DENTAL PRACTICE OF ARASH ABOLFAZLIAN, D
License/Registration Type: Fictitious Name Permit
License Number: 11142 Primary Status: Current - Active
Address :
111 DEERWOOD ROAD SUITE 390
SAN RAMON CA 94583
CONTRA COSTA 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: WALNUT CREEK ORTHODONTICS DENTAL PRACTICE OF ABOLFAZLIAN DENTAL, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16239 Primary Status: Cancelled
Address :
218 NORTH WIGET LN
WALNUT CREEK CA 94598
CONTRA COSTA COUNTY



