Dental Board of California
Licensing details for: 5312
Name: FAMILY ORTHODONTIC CENTER, DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
217 W BADILLO ST
COVINA CA 91723
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 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
