Dental Board of California
Licensing details for: 106258
Name: NEDJAT-HAIEM, MICHAEL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: MICHAEL NEDJAT-HAIEM, DDS
License/Registration Type: Additional Office Permit
License Number: 82508 Primary Status: Current - Active
Address :
1305 W. Sepulveda Blvd. Unit 2
TORRANCE CA 90501
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: MICHAEL NEDJAT-HAIEM, DDS
License/Registration Type: Additional Office Permit
License Number: 81944 Primary Status: Current - Active
Address :
1901 SOLAR DR., # 250
OXNARD CA 93036
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: MICHAEL NEDJAT-HAIEM, DDS
License/Registration Type: Additional Office Permit
License Number: 81973 Primary Status: Current - Active
Address :
612 E. CARSON ST.
LONG BEACH CA 90807
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: LOVIT DENTAL PRACTICE OF S. KHODADADI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19966 Primary Status: Current - Active
Address :
1305 Sepulveda Blvd. Unit 2
TORRANCE CA 90501
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: KIDZY DENTAL AND ORTHODONTIX DENTAL GROUP OF M. NEDJAT-HAIEM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19098 Primary Status: Current - Active
Address :
763 TOWN CENTER DR.
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: BIXBY ENDODONTICS DENTAL GROUP OF NEDJAT-HAIEM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19000 Primary Status: Current - Active
Address :
612 E. CARSON ST.
LONG BEACH CA 90807
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: UNIQ DENTISTRY DENTAL PRACTICE OF KHODADADI DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 20051 Primary Status: Current - Active
Address :
6130 Laurel Canyon Blvd. Suite 107
NORTH HOLLYWOOD CA 91606
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 GROUP OF MICHAEL NEDJAT-HAIEM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18977 Primary Status: Current - Active
Address :
1901 SOLAR DR., SUITE 250
OXNARD CA 93036
VENTURA COUNTY



