Dental Board of California
Licensing details for: 41051
Name: SELKI, SHOHREH ZAMANZADEH
License Type: Dentist
Primary Status: Current - Active
Previous Names: SELKI, SHOHREH Z
Address of Record
3029 CORDA DR
LOS ANGELES CA 90049
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: SHOHREH Z. SELKI, DDS
License/Registration Type: Additional Office Permit
License Number: 10436 Primary Status: Expired
Address :
2952 CANWOOD ST #201
AGOURA HILLS CA 91301
LOS ANGELES COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: SELKI, SHOHREH ZAMANZADEH
License/Registration Type: Moderate Sedation Permit
License Number: 254 Primary Status: Cancelled
Address :
1025 W. AVE K #105
LANCASTER CA 93534
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: SELKI, SHOHREH ZAMANZADEH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 6 Primary Status: Cancelled
Address :
3029 CORDA DRIVE
LOS ANGELES CA 90049
LOS ANGELES COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: SELKI, SHOHREH ZAMANZADEH
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 408 Primary Status: Current - Active
Address :
3029 Corda Dr
LOS ANGELES CA 90049-1101
