Dental Board of California
Licensing details for: 16470
Name: SMILELAND DENTAL PRACTICE OF F. EDALATPAJOUH DENTAL INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: F. Edalat Dental Inc
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EDALATPAJOUH, RYAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EDALATPAJOUH, FARAZ
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: EDALATPAJOUH, FARAZ
License/Registration Type: Dentist License
License Number: 64298 Primary Status: Current - Active
Address :
4332 Slauson Ave
MAYWOOD CA 90270-2848
LOS ANGELES 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: EDALATPAJOUH, RYAN
License/Registration Type: Dentist License
License Number: 103910 Primary Status: Current - Active
Address :
4332 E Slauson Ave
MAYWOOD CA 90270-2848
LOS ANGELES COUNTY
