Dental Board of California
Licensing details for: 17161
Name: ROSENBLUM, ALVIN B
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Reduced Renewal Fee ❖ Radiation Safety Certification
Address of Record
2930 NEILSON WAY 3-308
SANTA MONICA CA 90405
LOS ANGELES 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: WLA DENTAL CENTER, GROUP OF ALVIN B ROSENBLUM DDS
License/Registration Type: Fictitious Name Permit
License Number: 1036 Primary Status: Cancelled
Address :
AND ABDOLREZA SAMENI DDS
1950 SAWTELLE BLVD STE 100
LOS ANGELES CA 90025
LOS ANGELES COUNTY



