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: FATEMI DDS, ABEDINI DDS, A PROFESSIONAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8156 Primary Status: Cancelled
Address :
6343 ATLANTIC AVE, STE C
BELL CA 90201
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: BELL PLAZA DENTAL GROUP OF FATEMI DDS, ABEDINI DDS, A
License/Registration Type: Fictitious Name Permit
License Number: 4698 Primary Status: Cancelled
Address :
6343 ATLANTIC AVE, STE C
BELL CA 90201
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: BELL PLAZA DENTAL GROUP OF FATEMI DDS, IMANKHAN DDS,
License/Registration Type: Fictitious Name Permit
License Number: 4461 Primary Status: Cancelled
Address :
6343 ATLANTIC AVE, #C
BELL CA 90201
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: NEWPORT BEACH DENTAL SPA KENNY ABEDINI DDS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 19320 Primary Status: Current - Active
Address :
2 CORPORATE PLAZA DR STE 175
NEWPORT BEACH CA 92660
ORANGE 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: NEWPORT DENTAL SPA KENNY ABEDINI DDS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 19289 Primary Status: Current - Active
Address :
2 CORPORATE PLAZA DR. SUITE 175
NEWPORT BEACH CA 92660
ORANGE 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. ABEDINI FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 2608 Primary Status: Cancelled
Address :
2407 ATLANTIC AVENUE
LONG BEACH CA 90806
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: LONG BEACH ALL CARE DENTAL, DENTAL GROUP OF KENNY ABEDINI DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 9783 Primary Status: Cancelled
Address :
3840 WOODRUFF AVENUE #104
LONG BEACH CA 90808
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: ABEDINI, KENNY KAMBIZ
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3251 Primary Status: Current - Active
Address :
2 Corporate Plaza Dr Ste 175
2 Corporate Plaza Dr Suite 175
NEWPORT BEACH CA 92660-7949
ORANGE COUNTY
