Dental Board of California
Licensing details for: 16670
Name: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
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: MOJAVER, MAHNAZ NINA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GHASSEMI-AVAL, ALI REZA
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: GHASSEMI-AVAL, ALI REZA
License/Registration Type: Dentist License
License Number: 40595 Primary Status: Current - Active
Address :
450 A St
STE 200
SAN DIEGO CA 92101-4274
SAN DIEGO 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: MOJAVER, MAHNAZ NINA
License/Registration Type: Dentist License
License Number: 40681 Primary Status: Current - Active
Address :
450 A Street Ste 200
SAN DIEGO CA 92101
SAN DIEGO COUNTY
