Dental Board of California
Licensing details for: 50788
Name: MOUSSANEJAD, MONICA
License Type: Dentist
Primary Status: Current - Active
Address of Record
5620 Wilbur Avenue
300
TARZANA CA 91356
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TARZANA SMILE DESIGN, DENTAL PRACTICE MONICA MOUSSANEJAD, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 10613 Primary Status: Expired
Address :
5620 WILBUR AVENUE, STE. 300
TARZANA CA 91356
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: TARZANA SMILE DESIGN, DENTAL PRACTICE MONICA MOUSSANEJAD, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 10613 Primary Status: Expired
Address :
5620 WILBUR AVENUE, STE. 300
TARZANA CA 91356
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: MATHEWS, RYAN CONNER
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 534 Primary Status: Current - Active
Address Not Disclosed
