Dental Board of California
Licensing details for: 3828
Name: NORMANDIE DENTAL CLINIC, DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Sole Owner
Address of Record
1690 W ADAMS BLVD
LOS ANGELES CA 90007-1535
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MATEVOSIAN, 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: MATEVOSIAN, EDWARD
License/Registration Type: Dentist License
License Number: 41651 Primary Status: Current - Active
Address :
1690 W Adams Blvd
LOS ANGELES CA 90007-1535
LOS ANGELES COUNTY
