Dental Board of California
Licensing details for: 4014
Name: UPTOWN SMILES DENTAL GROUP, RAED Z MOUSSA,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
6716 GREENLEAF AVE
WHITTIER CA 90601
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
