Dental Board of California
Licensing details for: 107388
Name: BANDARY, DANIEL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
18235 ROSITA ST
TARZANA CA 91356
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROWN DENTAL & ORTHODONTICS DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17991 Primary Status: Current - Active
Address :
1295 S. LA BREA AVE #101
INGLEWOOD CA 90301-1066
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAWNDALE DENTAL GROUP, DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19057 Primary Status: Current - Active
Address :
15228 HAWTHORNE BLVD. SUITE A
LAWNDALE CA 90260
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: LAWNDALE DENTAL GROUP, DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19057 Primary Status: Current - Active
Address :
15228 HAWTHORNE BLVD. SUITE A
LAWNDALE CA 90260
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: CROWN DENTAL & ORTHODONTICS DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17991 Primary Status: Current - Active
Address :
1295 S. LA BREA AVE #101
INGLEWOOD CA 90301-1066
LOS ANGELES COUNTY
MS 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: Moderate Sedation Permit
Name: BANDARY, DANIEL
License/Registration Type: Moderate Sedation Permit
License Number: 46 Primary Status: Cancelled
Address :
6280 W. 3RD ST. UNIT #423
LOS ANGELES CA 90036
LOS ANGELES COUNTY
