Dental Board of California
Licensing details for: 102381
Name: KHOSRAVIAN, NILOOFAR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
23038 Ostronic Dr
WOODLAND HILLS CA 91367-6142
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINO ENDODONTICS DENTAL PRACTICE OF JAHANBAKHSH AND KHOSRAVIAN, DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 19426 Primary Status: Current - Active
Address :
5363 BALBOA BLVD, #531
ENCINO CA 91316
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: ENCINO ENDODONTICS DENTAL PRACTICE OF JAHANBAKHSH AND KHOSRAVIAN, DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 19426 Primary Status: Current - Active
Address :
5363 BALBOA BLVD, #531
ENCINO CA 91316
LOS ANGELES COUNTY
