Dental Board of California
Licensing details for: 102422
Name: SIRJANI, MOHAMMAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1868 Kelton Ave Unit PH5
LOS ANGELES CA 90025-6756
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SIRJANI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80147 Primary Status: Cancelled
Address :
1690 E. GONZALES RD.
OXNARD CA 93036
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OMNI DENTAL SPECIALTY DENTAL PRACTICE OF SIRJANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15184 Primary Status: Cancelled
Address :
1690 E. GONZALES RD.
OXNARD CA 93036
VENTURA 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: OMNI DENTAL SPECIALTY DENTAL PRACTICE OF SIRJANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15184 Primary Status: Cancelled
Address :
1690 E. GONZALES RD.
OXNARD CA 93036
VENTURA COUNTY
