Dental Board of California
Licensing details for: 4806
Name: MOUSSA FAMILY DENTISTRY DENTAL OFFICE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3355 IOWA AVE, STE C
RIVERSIDE CA 92507
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOUSSA, RAED Z
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOUSSA, RAED
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TUTUNDZHYAN, YERANUI
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: TUTUNDZHYAN, YERANUI
License/Registration Type: Dentist License
License Number: 41802 Primary Status: Current - Active
Address :
2233 E GARVEY AVE N #B
SUITE A
WEST COVINA CA 91791-1500
LOS ANGELES COUNTY
