Dental Board of California
Licensing details for: 4561
Name: DR WADID ANTOINE FATTOUCH
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
11274 EAST FIRESTONE BLVD
NORWALK CA 90650
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: FATTOUCH, WADID ANTOINE
License/Registration Type: Dentist License
License Number: 30544 Primary Status: Expired
Address :
1900 Pacific Coast Hwy Apt 18
18
18
HUNTINGTON BEACH CA 92648-3952
ORANGE COUNTY
