Dental Board of California
Licensing details for: 6240
Name: NORWALK DENTAL! A DENTAL OFFICE OF FRATT DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
12052 E. IMPERIAL HWY.
STE. 101
NORWALK CA 90650
LOS ANGELES 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: FRATT, DENNIS R
License/Registration Type: Dentist License
License Number: 24779 Primary Status: Expired
Address :
1005 BAYSIDE COVE
NEWPORT BEACH CA 92660
ORANGE COUNTY
