Dental Board of California
Licensing details for: 43216
Name: NIKFARJAM, DAVID SOHEIL
License Type: Dentist
Primary Status: Current - Active
Previous Names: NIKFARJAM, SOHEIL D ❖ NIKFARJAM, SOHEIL
Address of Record
1464 S ROBERTSON BLVD
LOS ANGELES CA 90035
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: DAVID S. NIKFARJAM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9884 Primary Status: Cancelled
Address :
2320 WOOLSEY STREET #312
BERKELEY CA 94705
ALAMEDA 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: DAVID S NIKFARJAM, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8022 Primary Status: Cancelled
Address :
12732 SAN PABLO AVE
RICHMOND CA 94805
CONTRA COSTA 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: WINNING SMILE DENTAL GROUP, DAVID S NIKFARJAM, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4398 Primary Status: Cancelled
Address :
12732 SAN PABLO AVE
RICHMOND CA 94805
CONTRA COSTA 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: DR. NIK'S CHILDREN'S DENTISTRY, DENTAL OFFICE OF DAVID S. NIKFARJ
License/Registration Type: Fictitious Name Permit
License Number: 11407 Primary Status: Current - Active
Address :
1464 S ROBERTSON BLVD
LOS ANGELES CA 90035
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: BEVERLY HILLS PEDIATRIC DENTAL GROUP, DAVID S. NIKFARJAM, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 7986 Primary Status: Cancelled
Address :
99 N. LA CIENEGA BOULEVARD #308
BEVERLY HILLS CA 90211
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: BERKELEY HILLS DENTAL GROUP, DAVID S NIKFARJAM,
License/Registration Type: Fictitious Name Permit
License Number: 4037 Primary Status: Cancelled
Address :
2320 WOOLSEY ST, STE 312
BERKELEY CA 94705
ALAMEDA 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: NIKFARJAM, DAVID SOHEIL
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1449 Primary Status: Cancelled
Address :
1464 S ROBERTSON BLVD
LOS ANGELES CA 90035
LOS ANGELES COUNTY
