Dental Board of California
Licensing details for: 17334
Name: ANAHEIM DENTAL AND ORTHODONTICS, DENTAL PRACTICE OF OMID MEHDIPOUR
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: MEHDIPOUR, OMID
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: MEHDIPOUR, OMID
License/Registration Type: Dentist License
License Number: 100813 Primary Status: Current - Active
Address :
3 Via Las Rosas
LAGUNA NIGUEL CA 92677-5500
ORANGE COUNTY
