Dental Board of California
Licensing details for: 18720
Name: TOP PINOLE DENTAL PRACTICE OF AZADEH HOSSEINI 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: HOSSEINI, AZADEH
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: HOSSEINI, AZADEH
License/Registration Type: Dentist License
License Number: 52865 Primary Status: Current - Active
Address :
1500 Tara Hills Dr
ste 104
PINOLE CA 94564-2577
CONTRA COSTA COUNTY
