Dental Board of California
Licensing details for: 44147
Name: BIMBLI, NIKOLIN SPIRO
License Type: Dentist
Primary Status: Current - Active
Address of Record
13901 S HAWTHORNE BLVD
HAWTHORNE CA 90250
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: NIKOLIN BIMBLI DDS INC.
License/Registration Type: Additional Office Permit
License Number: 80940 Primary Status: Expired
Address :
10200 VENICE BLVD, STE 109A
CULVER CITY CA 90232
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: NIKOLIN BIMBLI DDS INC.
License/Registration Type: Additional Office Permit
License Number: 79058 Primary Status: Expired
Address :
9920 Venice Blvd
CULVER CITY CA 90232-2719
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAWTHORNE FAMILY AND COSMETIC DENTAL OFFICE, N. BIMBLI, DDS, A PR
License/Registration Type: Fictitious Name Permit
License Number: 10280 Primary Status: Current - Active
Address :
13901 S. HAWTHORNE BOULEVARD
HAWTHORNE CA 90250
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAWTHORNE FAMILY & COSMETIC DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4544 Primary Status: Cancelled
Address :
13402 S HAWTHORNE BLVD
HAWTHORNE CA 90250
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: HAWTHORNE FAMILY & COSMETIC DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4544 Primary Status: Cancelled
Address :
13402 S HAWTHORNE BLVD
HAWTHORNE CA 90250
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: HAWTHORNE FAMILY AND COSMETIC DENTAL OFFICE, N. BIMBLI, DDS, A PR
License/Registration Type: Fictitious Name Permit
License Number: 10280 Primary Status: Current - Active
Address :
13901 S. HAWTHORNE BOULEVARD
HAWTHORNE CA 90250
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: BIMBLI, NIKOLIN SPIRO
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3066 Primary Status: Cancelled
Address :
13901 S. HAWTHORNE BOULEVARD
HAWTHORNE CA 90250
LOS ANGELES COUNTY
