Dental Board of California
Licensing details for: 42411
Name: ROSTAMI, HAROUN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Address of Record
11980 San Vicente Blvd
Suite 660
LOS ANGELES CA 90049-5012
LOS ANGELES county
Map
License Relationships
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: PARKSIDE DENTAL GROUP, H ROSTAMI, DDS, A
License/Registration Type: Fictitious Name Permit
License Number: 4403 Primary Status: Cancelled
Address :
2428 SANTA MONICA BLVD, #403
SANTA MONICA CA 90404
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 DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2458 Primary Status: Cancelled
Address :
11980 SAN VICENTE BLVD SUITE 660
LOS ANGELES CA 90049
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 DENTAL GROUP, H ROSTAMI DDS, A
License/Registration Type: Fictitious Name Permit
License Number: 4322 Primary Status: Current - Active
Address :
11980 San Vicente Blvd Ste 660
LOS ANGELES CA 90049-6641
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: PARKSIDE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2430 Primary Status: Cancelled
Address :
2428 SANTA MONICA BLVD STE 403
SANTA MONICA CA 90404
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: THE BRENTWOOD DENTIST, DENTAL PRACTICE OF H. ROSTAMI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 14650 Primary Status: Current - Active
Address :
11980 SAN VINCENTE BLVD #660
LOS ANGELES CA 90049
LOS ANGELES COUNTY



