Dental Board of California
Licensing details for: 105565
Name: POULDAR, EDWIN JAKOB
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
14912 Burbank Blvd
SHERMAN OAKS CA 91411-3609
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SHERMAN OAKS SMILES DENTAL OFFICE OF DRS. KIMIA, LORENZ, AND POULDAR
License/Registration Type: Fictitious Name Permit
License Number: 17530 Primary Status: Expired
Address :
14912 BURBANK BLVD
SHERMAN OAKS CA 91411
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: SHERMAN OAKS SMILES DENTAL OFFICE OF DRS. KIMIA, LORENZ, AND POULDAR
License/Registration Type: Fictitious Name Permit
License Number: 17530 Primary Status: Expired
Address :
14912 BURBANK BLVD
SHERMAN OAKS CA 91411
LOS ANGELES COUNTY
