Dental Board of California
Licensing details for: 36514
Name: AMIN, FARIDEH
License Type: Dentist
Primary Status: Current - Active
Previous Names: AMINSADEGHIYEH, FARIDEH
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: FARIDEH AMIN DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 12089 Primary Status: Cancelled
Address :
NEWBURY RD 1000 235
NEWBURY PARK CA 91320
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ELITE DENTAL SPECIALISTS, DENTAL OFFICE OF FARIDEH AMIN
License/Registration Type: Fictitious Name Permit
License Number: 12620 Primary Status: Cancelled
Address :
10244-1 CANOGA AVENUE
CHATSWORTH CA 91311
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ELITE DENTAL SPECIALISTS, DENTAL OFFICE OF FARIDEH AMIN
License/Registration Type: Fictitious Name Permit
License Number: 12621 Primary Status: Cancelled
Address :
REGENCY MEDICAL PLAZA
1000 NEWBURY ROAD, #235
NEWBURY PARK CA 91320
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: ELITE DENTAL SPECIALISTS, DENTAL OFFICE OF FARIDEH AMIN
License/Registration Type: Fictitious Name Permit
License Number: 12620 Primary Status: Cancelled
Address :
10244-1 CANOGA AVENUE
CHATSWORTH CA 91311
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: ELITE DENTAL SPECIALISTS, DENTAL OFFICE OF FARIDEH AMIN
License/Registration Type: Fictitious Name Permit
License Number: 12621 Primary Status: Cancelled
Address :
REGENCY MEDICAL PLAZA
1000 NEWBURY ROAD, #235
NEWBURY PARK CA 91320
VENTURA COUNTY
