Dental Board of California
Licensing details for: 16002
Name: LAGUNA BEACH ENDODONTICS AND MICROSURGERY DENTAL PRACTICE OF DR. MOJI BAGHERI
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: BAGHERI, MOJI MOJTABA
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: BAGHERI, MOJI MOJTABA
License/Registration Type: Dentist License
License Number: 60128 Primary Status: Current - Active
Address :
330 Park Ave
Suite 8
LAGUNA BEACH CA 92651
ORANGE COUNTY
