Dental Board of California
Licensing details for: 17472
Name: BEACH DENTAL CLUB DENTAL GROUP OF BITA DAVOODIAN DDS INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: BEACH DENTAL CLUB
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAVOODIAN, BITA
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: DAVOODIAN, BITA
License/Registration Type: Dentist License
License Number: 60768 Primary Status: Current - Active
Address :
1959 Kingsdale Ave
REDONDO BEACH CA 90278-3417
LOS ANGELES COUNTY
