Dental Board of California
Licensing details for: 101179
Name: MOLAYEM, ALEXANDER KAMRAN
License Type: Dentist
Primary Status: Cancelled
Method of Application: Licensure by WREB
Address of Record
9675 Brighton Way
Suite 210
BEVERLY HILLS CA 90210-5100
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: POLISHED DENTAL, PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 13585 Primary Status: Cancelled
Address :
9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: POLISHED DENTAL, DENTAL PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 15102 Primary Status: Cancelled
Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
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: POLISHED DENTAL, DENTAL PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 15102 Primary Status: Cancelled
Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
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: POLISHED DENTAL, PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 13585 Primary Status: Cancelled
Address :
9675 BRIGHTON WAY STE 210
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY
