Dental Board of California
Licensing details for: 12794
Name: DENTISTRY 4 KIDS AND ORTHODONTIC OF SOUTH CORONA, DENTAL GROUP, MOHAMMAD ABUL-FIELAT
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1561 E. ONTARIO AVENUE
SUITE 103A
CORONA CA 92881
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABUL-FIELAT, MOHAMMAD GAZI
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: ABUL-FIELAT, MOHAMMAD GAZI
License/Registration Type: Dentist License
License Number: 43302 Primary Status: Current - Active
Address :
14275 Pipeline Ave
CHINO CA 91710-5639
SAN BERNARDINO COUNTY
