Dental Board of California
Licensing details for: 79969
Name: EDWARD FARAJZADEH, D.D.S., A PROFESSIONAL DENTAL 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: FARAJZADEH, EDWARD
License/Registration Type: Dentist License
License Number: 33031 Primary Status: Current - Active
Address :
13983 Mango Dr
106
DEL MAR CA 92014-3131
SAN DIEGO COUNTY
