Dental Board of California
Licensing details for: 4628
Name: DENTAL GROUP OF CLOVIS, F PAKRAVAN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
200 WEST SHAW AVE, STE 110
CLOVIS CA 93612
FRESNO county
Map
License Relationships
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: PAKRAVAN, FARID
License/Registration Type: Dentist License
License Number: 39862 Primary Status: Current - Active
Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY
