Dental Board of California
Licensing details for: 13684
Name: BAYWOOD DENTAL GROUP, S. FATAHI DENTAL GROUP 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: FATAHI, SEPI
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: FATAHI, SEPI
License/Registration Type: Dentist License
License Number: 61574 Primary Status: Current - Active
Address :
24121 Baywood Ln
24121 Baywood Lane
VALENCIA CA 91355-6114
LOS ANGELES COUNTY
