Dental Board of California
Licensing details for: 14053
Name: ALISO NIGUEL DENTAL GROUP, SHAHZADI & DIAZ DDS
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DIAZ, LOURDES FULO
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAHZADI, FARHANG
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: DIAZ, LOURDES FULO
License/Registration Type: Dentist License
License Number: 52373 Primary Status: Current - Active
Address :
24541 Pacific Park Dr
STE. 105
ALISO VIEJO CA 92656-3065
ORANGE COUNTY
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: SHAHZADI, FARHANG
License/Registration Type: Dentist License
License Number: 47417 Primary Status: Current - Active
Address :
24541 Pacific Park Dr
SUITE 105
ALISO VIEJO CA 92656-3065
ORANGE COUNTY
