Dental Board of California
Licensing details for: 19098
Name: KIDZY DENTAL AND ORTHODONTIX DENTAL GROUP OF M. NEDJAT-HAIEM 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: NEDJAT-HAIEM, MICHAEL
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: NEDJAT-HAIEM, MICHAEL
License/Registration Type: Dentist License
License Number: 106258 Primary Status: Current - Active
Address :
1901 Solar Dr
250
OXNARD CA 93036-2641
