Dental Board of California
Licensing details for: 814
Name: FATAHI, SEPI
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
24121 BAYWOOD LANE #A
VALENCIA CA 91355
LOS ANGELES county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: FATAHI, SEPI
License/Registration Type: Dentist License
License Number: 61574 Primary Status: Current - Active
Address :
24121 Baywood Ln
24121 Baywood Lane
VALENCIA CA 91355-6114
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAYWOOD DENTAL GROUP, S. FATAHI DENTAL GROUP INC
License/Registration Type: Fictitious Name Permit
License Number: 13684 Primary Status: Current - Active
Address :
24121 BAYWOOD LN STE A
VALENCIA CA 91355
LOS ANGELES COUNTY
