Dental Board of California
Licensing details for: 78962
Name: EDWARD H, MOUSALLY, D.D.S., A PROFESSIONAL CORPORATION
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
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: MOUSALLY, EDWARD H.
License/Registration Type: Dentist License
License Number: 35303 Primary Status: Current - Active
Address :
23525 Golden Springs Dr
Ste C.
DIAMOND BAR CA 91765-2175
LOS ANGELES COUNTY
