
Dental Board of California
Licensing details for: 13500
Name: CRYSTAL DENTAL, PRACTICE OF DR. ALEXANDER S. MORADZADEH DDS INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MORADZADEH, ALEXANDER S
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: MORADZADEH, ALEXANDER S
License/Registration Type: Dentist License
License Number: 57506 Primary Status: Current - Active
Address :
2206 S Figueroa St
LOS ANGELES CA 90007-2049
LOS ANGELES COUNTY