Dental Board of California
Licensing details for: 39418
Name: IMANUEL, SIMON MASOOD
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
Previous Names: IMANUEL, MASOOD
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: SIMON M IMANUEL, DDS
License/Registration Type: Additional Office Permit
License Number: 8232 Primary Status: Cancelled
Address :
14124 FOOTHILL BLVD, STE 103
SYLMAR CA 91342
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: UNITED FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2440 Primary Status: Cancelled
Address :
9700 WOODMAN AVENUE
STE A28
ARLETA CA 91331
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: KINGS FAMILY DENTAL GROUP FOR SIMON MASOOD IMANUEL, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 4737 Primary Status: Cancelled
Address :
14124 FOOTHILL BLVD, STE 103
SYLMAR CA 91342
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: UNITED FAMILY DENTAL GROUP - DR. IMANUEL
License/Registration Type: Fictitious Name Permit
License Number: 971 Primary Status: Cancelled
Address :
9700 WOODMAN AVE, STE A-27
ARLETA CA 91331
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: UNITED FAMILY DENTAL GROUP, MASOOD IMANUEL D.M.D., A DENTAL CORPO
License/Registration Type: Fictitious Name Permit
License Number: 11053 Primary Status: Current - Active
Address :
14150 VAN NUYS BLVD
ARLETA CA 91331
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: KINGS FAMILY DENTAL GROUP, DR S. IMANUEL
License/Registration Type: Fictitious Name Permit
License Number: 13318 Primary Status: Cancelled
Address :
14114 POLK ST
SYLMAR CA 91342
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: KINGS FAMILY DENTAL GROUP, FOR SIMON MASOOD IMANUEL, D.M.D., INC.
License/Registration Type: Fictitious Name Permit
License Number: 11816 Primary Status: Current - Active
Address :
14114 POLK STREET
SYLMAR CA 91342
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: SYLMAR FAMILY DENTAL GROUP, SIMON MASOOD IMANUEL, DMD, INC
License/Registration Type: Fictitious Name Permit
License Number: 4518 Primary Status: Cancelled
Address :
14124 FOOTHILL BLVD
SYLMAR CA 91342
LOS ANGELES COUNTY
