Dental Board of California
Licensing details for: 101077
Name: COPPELSON, KEVIN BEHRANG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
10921 Wilshire Blvd
Suite 912
LOS ANGELES CA 90024-3906
LOS ANGELES county
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Practice Location
27901 La Paz Rd
Ste D,
LAGUNA NIGUEL CA 92677-3932
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2801 Townsgate Rd
#120
WESTLAKE VILLAGE CA 91361-3003
VENTURA county
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3033 Bristol St
Ste 103
COSTA MESA CA 92626-3001
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9055 Woodman Ave
ARLETA CA 91331-6404
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License Relationships
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 BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 19074 Primary Status: Current - Active
Address :
9055 WOODMAN AVE
ARLETA CA 91331
LOS ANGELES COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: COPPELSON, KEVIN BEHRANG
License/Registration Type: General Anesthesia Permit
License Number: 1960 Primary Status: Current - Active
Address :
10921 WILSHIRE BLVD, STE. 912
LOS ANGELES CA 90024
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: VALCU-PINKERTON, SANDA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 305 Primary Status: Current - Active
Address Not Disclosed



