Dental Board of California
Licensing details for: 14930
Name: EASTLAKE VILLAGE DENTAL OFFICE SOHRAB YAZDANI DDS. A PROFESSIONAL DENTAL CORPORATION
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: YAZDANI, SOHRAB
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: YAZDANI, SOHRAB
License/Registration Type: Dentist License
License Number: 44282 Primary Status: Current - Active
Address :
25146 Rockridge Rd
LAGUNA HILLS CA 92653-7804
ORANGE COUNTY
