Dental Board of California
Licensing details for: 2849
Name: DELMAR PROFESSIONAL DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
13983 MANGO DRIVE #104
DEL MAR CA 92014
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FARAJZADEH, EDWARD
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: FARAJZADEH, EDWARD
License/Registration Type: Dentist License
License Number: 33031 Primary Status: Current - Active
Address :
13983 Mango Dr
106
DEL MAR CA 92014-3131
SAN DIEGO COUNTY
