Dental Board of California
Licensing details for: 79565
Name: EMAD MOAWAD DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
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: MOAWAD, EMAD FATHY
License/Registration Type: Dentist License
License Number: 48335 Primary Status: Suspension
Address :
4214 W. BEVERLY BLVD #209
LOS ANGELES CA 90004
LOS ANGELES COUNTY
