Dental Board of California
Licensing details for: 2382
Name: MENIFEE VALLEY DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
HOMAYOUN POURSHIRAZI, DDS,INC.
26910 NEWPORT ROAD, SUITE B
MENIFEE CA 92584
RIVERSIDE county
Map
License Relationships
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: POURSHIRAZI, HOMAYOUN
License/Registration Type: Dentist License
License Number: 44064 Primary Status: Current - Active
Address :
27192 Newport Rd
SUITE 2
MENIFEE CA 92584-7387
RIVERSIDE COUNTY
