Dental Board of California
Licensing details for: 47525
Name: MASTOUR, PEDRAM ELI
License Type: Dentist
Primary Status: Current - Active
Address of Record
5620 SAWTELLE BLVD
CULVER CITY CA 90230
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: MASTOUR & FARD DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 80089 Primary Status: Expired
Address :
587 N. VENTU PK. RD STE #C
NEWBURY PARK CA 91320
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COMMUNITY DENTAL GROUP, PRACTICE OF PEDRAM MASTOUR
License/Registration Type: Fictitious Name Permit
License Number: 14892 Primary Status: Expired
Address :
587 N VENTU PARK RD #C
NEWBURY PARK CA 91320
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WEST L A DENTAL HEALTH CENTER, A DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 3857 Primary Status: Current - Active
Address :
5620 SAWTELLE BLVD
CULVER CITY CA 90230
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: COMMUNITY DENTAL GROUP, PRACTICE OF PEDRAM MASTOUR
License/Registration Type: Fictitious Name Permit
License Number: 14892 Primary Status: Expired
Address :
587 N VENTU PARK RD #C
NEWBURY PARK CA 91320
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: WEST L A DENTAL HEALTH CENTER, A DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 3857 Primary Status: Current - Active
Address :
5620 SAWTELLE BLVD
CULVER CITY CA 90230
LOS ANGELES COUNTY
