Dental Board of California
Licensing details for: 102517
Name: NASSIRI, JUSTIN BIJAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO county
Map
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: VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 17811 Primary Status: Expired
Address :
1111 E. HERNDON AVE #104
FRESNO CA 93720
FRESNO 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: NASSIRI, JUSTIN BIJAN
License/Registration Type: General Anesthesia Permit
License Number: 2095 Primary Status: Current - Active
Address :
1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO COUNTY
