Dental Board of California
Licensing details for: 3562
Name: FAMILY ORTHODONTIC CENTER, DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
14930 E IMPERIAL HWY, STE C
LA MIRADA CA 90638
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOUSSA, RAED Z
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: MOUSSA, RAED Z
License/Registration Type: Dentist License
License Number: 42577 Primary Status: Deceased
Address :
5810 E TRAPPER TRAIL
ANAHEIM CA 92807
ORANGE COUNTY
