Dental Board of California
Licensing details for: 37368
Name: SHIRAZI-ARDESTANI, BEHZAD
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Previous Names: SHIRAZI, ARDESTANI BEHZAD
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: SHIRAZI AND PARHAM, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8764 Primary Status: Cancelled
Address :
4955 VAN NUYS BLVD
STE 520
SHERMAN OAKS CA 91403
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: SHIRAZI AND PARHAM, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7369 Primary Status: Cancelled
Address :
4366 TUJUNGA AVENUE
STUDIO CITY CA 91604
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: BEHZAD SHIRAZI-ARDESTANI, DDS
License/Registration Type: Additional Office Permit
License Number: 6056 Primary Status: Current - Active
Address :
500 EAST OLIVE AVENUE
SUITE 430
BURBANK CA 91501
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: S C DENTAL CARE, DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3247 Primary Status: Cancelled
Address :
4366 TUJUNGA AVENUE
STUDIO CITY CA 91604
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: S C DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3156 Primary Status: Cancelled
Address :
4366 TUJUNGA AVENUE
STUDIO CITY CA 91604
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: S.C. DENTAL CARE DENTAL GROUP, BEHZAD SHIRAZI ARDESTANI INC. A PROFESSIONAL DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 13714 Primary Status: Current - Active
Address :
4366 TUJUNGA AVE
STUDIO CITY CA 91604
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: BURBANK/GLENDALE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2121 Primary Status: Cancelled
Address :
500 EAST OLIVE AVENUE
SUITE 430
BURBANK CA 91501
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: BURBANK/GLENDALE DENTAL GROUP, BEHZAD SHIRAZI ARDESTANI INC. A PROFESSIONAL DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 13699 Primary Status: Current - Active
Address :
500 EAST OLIVE AVE STE 430
BURBANK CA 91501
LOS ANGELES COUNTY



