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: JANJIK & RODEF DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81150 Primary Status: Current - Active
Address :
1501 COLORADO BOULEVARD
LOS ANGELES CA 90041
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: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF JANJIK & RODEF DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17048 Primary Status: Current - Active
Address :
1501 COLORADO BLVD
LOS ANGELES CA 90041
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: JANJIK, TALIN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 520 Primary Status: Cancelled
Address :
1258 JUSTIN AVENUE
GLENDALE CA 91201
LOS ANGELES COUNTY



