Dental Board of California
Licensing details for: 3832
Name: PREMIER DENTAL SPECIALTIES, DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
2947 CHINO AVE
STE D3
CHINO HILLS CA 91709
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BOTTALA, JOHN ROBERT
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABEDI, HAMID REZA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABUL-FIELAT, MOHAMMAD GAZI
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: ABUL-FIELAT, MOHAMMAD GAZI
License/Registration Type: Dentist License
License Number: 43302 Primary Status: Current - Active
Address :
14275 Pipeline Ave
CHINO CA 91710-5639
SAN BERNARDINO COUNTY
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: ABEDI, HAMID REZA
License/Registration Type: Dentist License
License Number: 43300 Primary Status: Current - Active
Address :
9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE COUNTY
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: BOTTALA, JOHN ROBERT
License/Registration Type: Dentist License
License Number: 35475 Primary Status: Current - Active
Address :
215 REBECCA DRIVE
SAN DIMAS CA 91773
LOS ANGELES COUNTY
