Dental Board of California
Licensing details for: 16888
Name: SOUTH MAIN DENTAL GROUP/MEDHAT ROFAEL
License Type: Fictitious Name Permit
Primary Status: Expired

Organization Classification: Corporation
License Relationships
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: ROFAEL, MEDHAT M. RAOUF
License/Registration Type: Dentist License
License Number: 40714 Primary Status: Current - Active
Address :
17150 Euclid St Ste 322
FOUNTAIN VALLEY CA 92708-4092
ORANGE COUNTY



