Dental Board of California
Licensing details for: 100938
Name: KOHANFARSI, FARZIN BENJAMIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
20218 Wells Dr
WOODLAND HILLS CA 91364-4730
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DIAMOND DENTAL SPA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 19344 Primary Status: Current - Active
Address :
20301 VENTURA BLVD SUITE 100
WOODLAND HILLS CA 91364
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DIAMOND DENTAL SPA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 19344 Primary Status: Current - Active
Address :
20301 VENTURA BLVD SUITE 100
WOODLAND HILLS CA 91364
LOS ANGELES COUNTY
