Dental Board of California
Licensing details for: 7009
Name: FAMILY DENTAL PRACTICE OF LANCASTER FARID PAKRAVAN PROFESSIONAL D
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
44558 10TH STREET
LANCASTER CA 93534
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: PAKRAVAN, FARID
License/Registration Type: Dentist License
License Number: 39862 Primary Status: Current - Active
Address :
2604 S VERMONT AVE
SUITE F
LOS ANGELES CA 90007
LOS ANGELES COUNTY



