Dental Board of California
Licensing details for: 102526
Name: JABAITI, TARIQ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Secondary Status: Probationary License
Probation Summary: Description: Tariq Jabaiti (Respondent) entered into a 4 year Probationary Term imposed pursuant to a stipulated settlement, effective December 8, 2023. This probationary term is anticipated to end December 7, 2027. Below is the cause alleged in the statement of issues:
• Conviction of a Substantially Related Crime
• Dangerous Use of Alcohol
Culpability: Respondent admits the truth of each and every charge and allegation in Accusation number 4402021002066.
Respondent agrees that his Dental License is subject to discipline, and he agrees to be bound by the Boards Probationary terms as set forth in the Disciplinary Order below.
Restrictions of Practice: Below of the terms of the Disciplinary Order, terms 1-17 are considered standard:
1. Obey All Laws
2. Quarterly Reports
3. Comply with the Board’s Probation Program
4. Address Change, Name Change, License Status
5. Meetings and Interviews
6. Status of Residency, Practice, or Licensure Outside of State
7. Submit Documentation
8. Cost Recovery – Ordered to Reimburse the Board the Amount of $5,988.70
9. Probation Monitoring Costs
10. License Surrender
11. Function as a Licensee
12. Continuance of Probationary Term/Completion of Probation
13. Sale or Closure of an Office and/or Practice
14. Notification
15. Community Service
16. Biological Testing
17. Abstain from use of Alcohol, Controlled Substances and Dangerous Drugs
Address of Record
16740 Otsego St
ENCINO CA 91436-1030
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: JABAITI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80707 Primary Status: Cancelled
Address :
1708 S. VICTORIA AVE. STE B
VENTURA CA 93003
VENTURA COUNTY
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: KEIHANI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81189 Primary Status: Current - Active
Address :
8641 WILSHIRE BLVD SUITE 125
BEVERLY HILLS CA 90211
LOS ANGELES COUNTY
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: NOVEIR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81452 Primary Status: Current - Active
Address :
9671 RESEDA BLVD
NORTHRIDGE CA 91324
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAVO DENTAL PRACTICE OF NOVEIR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17678 Primary Status: Current - Active
Address :
9671 RESEDA BLVD
NORTHRIDGE CA 91324
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AVRA DENTAL DENTAL PRACTICE OF JABAITI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15972 Primary Status: Current - Active
Address :
1708 S. VICTORIA AVE., #B
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL GROUP OF BEVERLY HILLS PRACTICE OF KEIHANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17198 Primary Status: Current - Active
Address :
8641 WHILSHIRE BLVD., SUITE 125
BEVERLY HILLS CA 90211
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOLAR ENDODONTICS DENTAL PRACTICE OF ALIREZAEI AND JABAITI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18628 Primary Status: Cancelled
Address :
1901 SOLAR DR. SUITE 250
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: DENTAL GROUP OF BEVERLY HILLS PRACTICE OF KEIHANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17198 Primary Status: Current - Active
Address :
8641 WHILSHIRE BLVD., SUITE 125
BEVERLY HILLS CA 90211
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: SOLAR ENDODONTICS DENTAL PRACTICE OF ALIREZAEI AND JABAITI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18628 Primary Status: Cancelled
Address :
1901 SOLAR DR. SUITE 250
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: LAVO DENTAL PRACTICE OF NOVEIR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17678 Primary Status: Current - Active
Address :
9671 RESEDA BLVD
NORTHRIDGE CA 91324
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: AVRA DENTAL DENTAL PRACTICE OF JABAITI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15972 Primary Status: Current - Active
Address :
1708 S. VICTORIA AVE., #B
VENTURA CA 93003
VENTURA COUNTY
