Dental Board of California
Licensing details for: 13200
Name: SORRENTO MESA DENTAL OFFICE FAY AHMADPOUR DDS INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AHMADPOUR, FAY
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: Ahmadpour, Fay
License/Registration Type: Dentist License
License Number: 47834 Primary Status: Current - Active
Address :
13489 LANDFAIR RD
SAN DIEGO CA 92130
SAN DIEGO COUNTY
