
Dental Board of California
Licensing details for: 13983
Name: RADIANCE DENTAL PRACTICE OF EMAN MIKHAIL DDS DENTAL CORP
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: MIKHAIL, EMAN
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: MIKHAIL, EMAN
License/Registration Type: Dentist License
License Number: 62390 Primary Status: Current - Active
Address :
5675 E La Palma Ave
197
ANAHEIM CA 92807-2107
ORANGE COUNTY