Dental Board of California
Licensing details for: 3248
Name: VILLAGE DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1210 SOUTH BROOKHURST
ANAHEIM CA 92804
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
