Dental Board of California
Licensing details for: 16239
Name: WALNUT CREEK ORTHODONTICS DENTAL PRACTICE OF ABOLFAZLIAN DENTAL, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABOLFAZLIAN, ARASH
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: ABOLFAZLIAN, ARASH
License/Registration Type: Dentist License
License Number: 61500 Primary Status: Current - Active
Address :
111 Deerwood Rd
Suite 390
111 Deerwood Rd.
SAN RAMON CA 94583-4409
CONTRA COSTA COUNTY
