Dental Board of California
Licensing details for: 18257
Name: ASSIGN FAMILY DENTAL GROUP DENTAL GROUP OF HANI MOHSENZADEH, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOHSENZADEH, HANI
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: MOHSENZADEH, HANI
License/Registration Type: Dentist License
License Number: 107197 Primary Status: Current - Active
Address :
41 Royal Gorge St
SANTA ROSA CA 95409-4281
SONOMA COUNTY
