Dental Board of California
Licensing details for: 13390
Name: FAMILY DENTAL CARE, DENTAL OFFICE OF MAZIAR IZADI, DDS
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IZADI, MAZIAR
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: IZADI, MAZIAR
License/Registration Type: Dentist License
License Number: 63905 Primary Status: Current - Active
Address :
495 east los angeles
SIMI VALLEY CA 93065
LOS ANGELES COUNTY
