Dental Board of California
Licensing details for: 2115
Name: SANTA MARIA DENTAL OFFICE , INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
11938 SOUTH HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ROFAEL, NAWAL N MOAWAD
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: ROFAEL, NAWAL N MOAWAD
License/Registration Type: Dentist License
License Number: 37486 Primary Status: Expired
Address :
12301 TRURO AVE
HAWTHORNE CA 90250-3623
LOS ANGELES COUNTY
