Dental Board of California
Licensing details for: 19256
Name: LONG BEACH ENDODONTICS DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALNATOUR, AHMAD M
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABEDI, HAMID REZA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BAGHERI, MOJI MOJTABA
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: BAGHERI, MOJI MOJTABA
License/Registration Type: Dentist License
License Number: 60128 Primary Status: Current - Active
Address :
330 Park Ave
Suite 8
LAGUNA BEACH CA 92651
ORANGE COUNTY
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: ALNATOUR, AHMAD M
License/Registration Type: Dentist License
License Number: 61072 Primary Status: Current - Active
Address :
1620 AMBER LN
BRENTWOOD CA 94513
CONTRA COSTA COUNTY
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: ABEDI, HAMID REZA
License/Registration Type: Dentist License
License Number: 43300 Primary Status: Current - Active
Address :
9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE COUNTY
