Dental Board of California
Licensing details for: 10875
Name: PORTOLA DENTAL, DENTAL OFFICE OF A. ALEX RAJABI, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: PORTOLA DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RAJABI, ABBAS
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: RAJABI, ABBAS
License/Registration Type: Dentist License
License Number: 48667 Primary Status: Current - Active
Address :
26700 Towne Centre Dr
Suite 260
FOOTHILL RANCH CA 92610-2846
ORANGE COUNTY
