Dental Board of California
Licensing details for: 3220
Name: OCEAN VIEW PLAZA DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: OCEAN VIEW DENTAL GROUP
Address of Record
638 CAMINO DE LOS MARES #C-140
SAN CLEMENTE CA 92673
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TABA, ARFAN
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: TABA, ARFAN
License/Registration Type: Dentist License
License Number: 41579 Primary Status: Current - Active
Address :
3221 Amethyst Way
TURLOCK CA 95382-9217
STANISLAUS COUNTY
