Dental Board of California
Licensing details for: 54539
Name: KHAKSHOOY, SIAMAK
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: VAHEDI DENTAL INC.
License/Registration Type: Additional Office Permit
License Number: 79505 Primary Status: Cancelled
Address :
2320 S ROBERTSON BLVD
LOS ANGELES CA 90034
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: DRS. SIAMAK KHAKSHOOY & SOHEIL VAHEDI DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 81086 Primary Status: Expired
Address :
3451 W. CENTURY BLVD., STE B-1
INGLEWOOD CA 90303
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: SIAMAK KHAKSHOOY, DDS
License/Registration Type: Additional Office Permit
License Number: 82778 Primary Status: Current - Active
Address :
3451 W Century Blvd Ste B1
INGLEWOOD CA 90303-1228
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: DRS. SIAMAK KHAKSHOOY & SOHEIL VAHEDI DDS, INC
License/Registration Type: Additional Office Permit
License Number: 81398 Primary Status: Cancelled
Address :
3451 WEST CENTURY BLVD STE B1
INGLEWOOD CA 90303
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: SALUD DENTAL GROUP, DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12465 Primary Status: Current - Active
Address :
2621 E. 1ST STREET
LOS ANGELES CA 90033
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: SORO DENTAL GROUP, PRACTICE OF VAHEDI DENTAL INC.
License/Registration Type: Fictitious Name Permit
License Number: 13820 Primary Status: Cancelled
Address :
2320 S ROBERTSON BLVD
LOS ANGELES CA 90034
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: LAX DENTAL GROUP, VAHEDI AND KHAKSHOOY DENTAL INCORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10026 Primary Status: Current - Active
Address :
4201 WEST CENTURY BOULEVARD
INGLEWOOD CA 90304
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: AESTHETICA DENTAL GROUP, DRS. SIAMAK KHAKSHOOY AND SOHEIL VAHEDI,
License/Registration Type: Fictitious Name Permit
License Number: 8977 Primary Status: Current - Active
Address :
3451 WEST CENTURY BOULEVARD
STE. B-1
INGLEWOOD CA 90303
LOS ANGELES COUNTY
