Dental Board of California
Licensing details for: 4034
Name: FAMILY ORTHODONTIC CENTER, DR RAED Z MOUSSA
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
14930 E IMPERIAL HWY, #C
LA MIRADA CA 90638
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOTAKEF, MEHDI
Address Not Disclosed
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
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: MOTAKEF, MEHDI
License/Registration Type: Dentist License
License Number: 42372 Primary Status: Current - Active
Address :
14930 Imperial Hwy
#C
LA MIRADA CA 90638-2100
LOS ANGELES COUNTY
