
Dental Board of California
Licensing details for: 5316
Name: ALISO NIGUEL DENTAL GROUP, MARK J WILSON, DDS &
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Association
Address of Record
24541 PACIFIC PARK DR
STE 105
ALISO VIEJO CA 92656
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAHZADI, FARHANG
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: SHAHZADI, FARHANG
License/Registration Type: Dentist License
License Number: 47417 Primary Status: Current - Active
Address :
24541 Pacific Park Dr
SUITE 105
ALISO VIEJO CA 92656-3065
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: WILSON, MARK JONATHAN
License/Registration Type: Dentist License
License Number: 33687 Primary Status: Cancelled
Address :
49305 HWY 74
#191
PALM DESERT CA 92260
RIVERSIDE COUNTY