Dental Board of California
Licensing details for: 80075
Name: POURSHIRAZI 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: POURSHIRAZI, HOMAYOUN
License/Registration Type: Dentist License
License Number: 44064 Primary Status: Current - Active
Address :
27192 Newport Rd
SUITE 2
MENIFEE CA 92584-7387
RIVERSIDE COUNTY
