Dental Board of California
Licensing details for: 17764
Name: ELEGANT PEDIATRIC DENTISTRY AND ORTHODONTICS A DENTAL PRACTICE OF BABAK JAVIDI, DMD, INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
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: JAVIDI, BABAK
License/Registration Type: Dentist License
License Number: 106067 Primary Status: Current - Active
Address :
12125 Alta Carmel Ct
Suit 310
SAN DIEGO CA 92128-3893
SAN DIEGO COUNTY
