Dental Board of California
Licensing details for: 47470
Name: ELIE, ARASH
License Type: Dentist
Primary Status: Current - Active
Address of Record
15740 GREENLEAF STREET
ENCINO CA 91436
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: LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79240 Primary Status: Cancelled
Address :
1760 E Avenida De Los Arboles Ste A
THOUSAND OAKS CA 91362-1392
VENTURA 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: LINDA BANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80979 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN 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: SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79332 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH ROAD
CA 91355
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: ELIE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79449 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
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: BRYAN WATANABE, D.D.S., DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79454 Primary Status: Cancelled
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79236 Primary Status: Cancelled
Address :
612 E Carson St Ste 101
CARSON CA 90745-2892
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: KHAZALI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79232 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA 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: WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79518 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
VENTURA 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: ELIE AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9188 Primary Status: Cancelled
Address :
28134 NEWHALL RANCH RD.
VALENCIA CA 91355
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: ARASH ELIE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9427 Primary Status: Cancelled
Address :
11850 1/2 BALBOA BLVD.
GRANADA HILLS CA 91344
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: DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79266 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE 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: KATAYOUN SETAREH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79453 Primary Status: Current - Active
Address :
2650 TAPO CANYON RD STE 107
SIMI VALLEY CA 93063
VENTURA 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: SIMONIAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81511 Primary Status: Current - Active
Address :
6446 PLATT AVENUE
WEST HILLS CA 91307
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: JEFFERSON AND ELIE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12047 Primary Status: Cancelled
Address :
28134 NEWHALL RANCH ROAD
VALENCIA CA 91355
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: CHRISTOPHER OATES DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79357 Primary Status: Expired
Address :
415 N PACIFIC COAST HWY STE 100 A
REDONDO BEACH CA 90277
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: ELIE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8642 Primary Status: Current - Active
Address :
24218 VALENCIA BLVD
VALENCIA CA 91355
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: ELIE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8616 Primary Status: Current - Active
Address :
26938 THE OLD ROAD
VALENCIA CA 91355
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: SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79364 Primary Status: Current - Active
Address :
5353 GOSFORD ROAD, SUITE 103
BAKERSFIELD CA 93313
KERN 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: SETAREH SHENAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79460 Primary Status: Cancelled
Address :
1197 E LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
VENTURA 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: WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80515 Primary Status: Current - Active
Address :
612 E. CARSON STREET, SUITE 101
CARSON CA 90745
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: TERRI NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81683 Primary Status: Current - Active
Address :
26877 SIERRA HIGHWAY
NEWHALL CA 91321
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: DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79237 Primary Status: Cancelled
Address :
2878 Campus Pkwy
SUITE 1
RIVERSIDE CA 92507-0966
RIVERSIDE 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: YASMIN EASLEY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79578 Primary Status: Current - Active
Address :
38209 47TH ST EAST STE E
PALMDALE CA 93552
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOSFORD VILLAGE DENTAL GROUP, SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13597 Primary Status: Current - Active
Address :
5353 GOSFORD RD STE 103
BAKERSFIELD CA 93313
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HASLEY CANYON DENTAL GROUP, BRYAN WATANABE, D.D.S., DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13768 Primary Status: Cancelled
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION OAKS DENTAL GROUP, WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13852 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13340 Primary Status: Cancelled
Address :
612 E. CARSON STREET, SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PREFERRED DENTAL GROUP, OFFICE OF ELIE, RAFI, SHIDMAND, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4703 Primary Status: Cancelled
Address :
18048 SATICOY STREET
RESEDA CA 91335
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REDONDO DENTISTRY DENTAL GROUP, CHRISTOPHER OATES DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13564 Primary Status: Cancelled
Address :
415 N PACIFIC COAST HWY STE 100
REDONDO BEACH CA 90277
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP, DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13173 Primary Status: Cancelled
Address :
2878 CAMPUS PARKWAY, SUITE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIRST STREET DENTAL GROUP, SETAREH SHENAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13793 Primary Status: Cancelled
Address :
1197 E LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL GROUP AT COPPER HILL, ELIE AND PHAM DENTAL CORPOR
License/Registration Type: Fictitious Name Permit
License Number: 6501 Primary Status: Cancelled
Address :
28134 NEWHALL RANCH RD.
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5515 Primary Status: Cancelled
Address :
1635 N VICTORY PLACE
BURBANK CA 91502
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIMI VALLLEY SMILES DENTAL GROUP, KATAYOUN SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13769 Primary Status: Cancelled
Address :
2650 TAPO CANYON RD STE 107
SIMI VALLEY CA 93063
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13775 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP, YASMIN EASLEY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14003 Primary Status: Current - Active
Address :
38209 47TH ST EAST STE E
PALMDALE CA 93552
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15682 Primary Status: Current - Active
Address :
612 E. CARSON STREET., SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CANYON SPRINGS DENTAL GROUP DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13408 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAKERSFIELD DENTAL GROUP LINDA BANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16463 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL GROUP, ELIE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5712 Primary Status: Current - Active
Address :
26938 THE OLD ROAD
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL GROUP AT COPPER HILL SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13516 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH RD
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALENCIA DENTAL GROUP, ELIE PROFESSIONAL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 5723 Primary Status: Current - Active
Address :
24218 VALENCIA BLVD
VALENCIA CA 91355
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BALBOA DENTAL GROUP, ARASH ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 6976 Primary Status: Cancelled
Address :
11850 1/2 BALBOA BLVD.
GRANADA HILLS CA 91344
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: VALENCIA DENTAL GROUP, ELIE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5712 Primary Status: Current - Active
Address :
26938 THE OLD ROAD
VALENCIA CA 91355
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 DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15682 Primary Status: Current - Active
Address :
612 E. CARSON STREET., SUITE 101
CARSON CA 90745
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: FIRST STREET DENTAL GROUP, SETAREH SHENAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13793 Primary Status: Cancelled
Address :
1197 E LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
VENTURA 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: VALENCIA DENTAL GROUP AT COPPER HILL, ELIE AND PHAM DENTAL CORPOR
License/Registration Type: Fictitious Name Permit
License Number: 6501 Primary Status: Cancelled
Address :
28134 NEWHALL RANCH RD.
VALENCIA CA 91355
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: GATEWAY DENTAL GROUP, YASMIN EASLEY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14003 Primary Status: Current - Active
Address :
38209 47TH ST EAST STE E
PALMDALE CA 93552
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: REDONDO DENTISTRY DENTAL GROUP, CHRISTOPHER OATES DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13564 Primary Status: Cancelled
Address :
415 N PACIFIC COAST HWY STE 100
REDONDO BEACH CA 90277
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: HASLEY CANYON DENTAL GROUP, BRYAN WATANABE, D.D.S., DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13768 Primary Status: Cancelled
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: BAKERSFIELD DENTAL GROUP LINDA BANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16463 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN 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: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5515 Primary Status: Cancelled
Address :
1635 N VICTORY PLACE
BURBANK CA 91502
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: BALBOA DENTAL GROUP, ARASH ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 6976 Primary Status: Cancelled
Address :
11850 1/2 BALBOA BLVD.
GRANADA HILLS CA 91344
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: VALENCIA DENTAL GROUP, ELIE PROFESSIONAL DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 5723 Primary Status: Current - Active
Address :
24218 VALENCIA BLVD
VALENCIA CA 91355
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: GOSFORD VILLAGE DENTAL GROUP, SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13597 Primary Status: Current - Active
Address :
5353 GOSFORD RD STE 103
BAKERSFIELD CA 93313
KERN 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 DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13340 Primary Status: Cancelled
Address :
612 E. CARSON STREET, SUITE 101
CARSON CA 90745
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: VALENCIA DENTAL GROUP AT COPPER HILL SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13516 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH RD
VALENCIA CA 91355
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: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
VENTURA 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: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13775 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
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: CANYON SPRINGS DENTAL GROUP, DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13173 Primary Status: Cancelled
Address :
2878 CAMPUS PARKWAY, SUITE 1
RIVERSIDE CA 92507
RIVERSIDE 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: MISSION OAKS DENTAL GROUP, WORKINGS AND LAMBRIDIS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13852 Primary Status: Current - Active
Address :
4900 VERDUGO WAY STE A
CAMARILLO CA 93012
VENTURA 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: PREFERRED DENTAL GROUP, OFFICE OF ELIE, RAFI, SHIDMAND, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4703 Primary Status: Cancelled
Address :
18048 SATICOY STREET
RESEDA CA 91335
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: SIMI VALLLEY SMILES DENTAL GROUP, KATAYOUN SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13769 Primary Status: Cancelled
Address :
2650 TAPO CANYON RD STE 107
SIMI VALLEY CA 93063
VENTURA 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: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA 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: CANYON SPRINGS DENTAL GROUP DAVID CARLISLE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13408 Primary Status: Cancelled
Address :
2878 CAMPUS PKWY STE 1
RIVERSIDE CA 92507
RIVERSIDE COUNTY
