Dental Board of California
Licensing details for: 2919
Name: TUSTIN DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
13721 Newport Ave Ste 1
TUSTIN CA 92780-4601
ORANGE 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: SHARIFIAN, ALEX R.
License/Registration Type: Dentist License
License Number: 44540 Primary Status: Current - Active
Address :
13721 Newport Ave
Suite 1
TUSTIN CA 92780-4690
ORANGE COUNTY
