Dental Board of California
Licensing details for: 17466
Name: PALMDALE CHILDREN AND FAMILY DENTISTRY AND ORTHODONTICS DENTAL OFFICE OF R. EDALATPAJOUH DENTAL INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: R. Edalatpajouh Dental Inc
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EDALATPAJOUH, RYAN
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, 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
