Dental Board of California
Licensing details for: 10063
Name: VADADENT MODERN DENTAL GROUP, TABIBI DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: VADADENT TABIBI, PC MODERN DENTAL GROUP
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TABIBI, FARIBA
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: TABIBI, FARIBA
License/Registration Type: Dentist License
License Number: 41133 Primary Status: Current - Active
Address :
513 VETERAN AVE
LOS ANGELES CA 90029
LOS ANGELES COUNTY
