Dental Board of California
Licensing details for: 18212
Name: NORTH COUNTY PERIODONTICS & IMPLANT DENTISTRY DENTAL PRACTICE OF JAVDAN DENTAL 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: Javdan, Behdad
License/Registration Type: Dentist License
License Number: 100274 Primary Status: Current - Active
Address :
1424 Blue Oaks Blvd
ROSEVILLE CA 95747
