Dental Board of California
Licensing details for: 18366
Name: EASTVALE FAMILY DENTAL PRACTICE OF FIELAT DENTAL CORPORATION
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: ABUL-FIELAT, MOHAMMAD GAZI
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: ABUL-FIELAT, MOHAMMAD GAZI
License/Registration Type: Dentist License
License Number: 43302 Primary Status: Current - Active
Address :
14275 Pipeline Ave
CHINO CA 91710-5639
SAN BERNARDINO COUNTY
