Dental Board of California
Licensing details for: 7580
Name: RAED Z MOUSSA, DDS, PROF DENTAL CORP
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
166 N MOORPARK RD, STE 302
THOUSAND OAKS CA 91360
VENTURA 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: MOUSSA, RAED Z
License/Registration Type: Dentist License
License Number: 42577 Primary Status: Deceased
Address :
5810 E TRAPPER TRAIL
ANAHEIM CA 92807
ORANGE COUNTY
