Dental Board of California
Licensing details for: 82398
Name: BEVAN FAREID, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Champlain Dentistry, Inc.
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: FAREID, BEVAN SHOGHI
License/Registration Type: Dentist License
License Number: 64702 Primary Status: Current - Active
Address :
4129 S Mooney Blvd #B
VISALIA CA 93277
TULARE COUNTY
