Dental Board of California
Licensing details for: 6597
Name: BELL PLAZA DENTAL GROUP OF MOJDEH FATEMI, DDS, A PROF. CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
6343 ATLANTIC AVE.
STE. C
BELL CA 90201
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FATEMI, MOJDEH
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: FATEMI, MOJDEH
License/Registration Type: Dentist License
License Number: 45857 Primary Status: Current - Active
Address :
5707 Atlantic Blvd
Suite A1
Bell Plaza Dental
MAYWOOD CA 90270-2944
LOS ANGELES COUNTY
