Dental Board of California
Licensing details for: 42824
Name: GHOTANIAN, RENE
License Type: Dentist
Primary Status: Current - Active
Address of Record
5363 Balboa Blvd Ste 346
ENCINO CA 91316-2836
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: RENE GHOTANIAN, DDS
License/Registration Type: Additional Office Permit
License Number: 7203 Primary Status: Expired
Address :
5363 BALBOA BLVD #346
ENCINO CA 91316
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: GHOTANIAN, DDS, PROFESSIONAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7724 Primary Status: Cancelled
Address :
870 HAMPSHIRE RD, #C
WESTLAKE VILLAGE CA 91361
VENTURA COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: GHOTANIAN, RENE
License/Registration Type: Conscious Sedation Permit
License Number: 813 Primary Status: Cancelled
Address :
5363 Balboa Blvd Ste 346
ENCINO CA 91316-2836
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: GHOTANIAN, RENE
License/Registration Type: Moderate Sedation Permit
License Number: 435 Primary Status: Current - Active
Address :
5363 BALBOA AVE
ENCINO CA 91316
LOS ANGELES COUNTY
