Dental Board of California
Licensing details for: 39056
Name: NIKNAM, NADER
License Type: Dentist
Primary Status: Current - Active
Address of Record
11645 WILSHIRE BLVD
SUITE 790
LOS ANGELES CA 90025
LOS ANGELES county
Map
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: NIKNAM AND KHANIAN DENTAL PRACTICE INC
License/Registration Type: Additional Office Permit
License Number: 7020 Primary Status: Cancelled
Address :
4065 W AVENUE L
LANCASTER CA 93536
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: NADER NIKNAM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 6147 Primary Status: Cancelled
Address :
4065 WEST AVENUE "L"
LANCASTER CA 93536
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: NIKNAM AND KHANIAN DENTAL, INC.
License/Registration Type: Additional Office Permit
License Number: 10617 Primary Status: Current - Active
Address :
4023 WEST AVENUE L
LANCASTER CA 93536
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRENTWOOD CENTER FOR COSMETIC DENTISTRY, DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 5616 Primary Status: Cancelled
Address :
11645 WILSHIRE BLVD, STE 790
LOS ANGELES CA 90025
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: BRENTWOOD CENTER FOR COSMETIC DENTISTRY, DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 5616 Primary Status: Cancelled
Address :
11645 WILSHIRE BLVD, STE 790
LOS ANGELES CA 90025
LOS ANGELES COUNTY
