Dental Board of California
Licensing details for: 4456
Name: MESA FAMILY DENTAL PRACTICE, TOURAN DAVOUDI, DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
5450 CLAIREMONT MESA BLVD, #C
SAN DIEGO CA 92117
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAVOUDI, TOURAN
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: DAVOUDI, TOURAN
License/Registration Type: Dentist License
License Number: 47873 Primary Status: Current - Active
Address :
5450 CLAIREMONT MESA BLVD
STE C
SAN DIEGO CA 92117
SAN DIEGO COUNTY
