Dental Board of California
Licensing details for: 56151
Name: KAKOLI, PAYMAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
18375 VENTURA BLVD #727
TARZANA CA 91356
LOS ANGELES county
Map
License Relationships
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: A NEW SMILE DENTAL OFFICE OF KAKOLI, RAMTIN & TABIBZADEH DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 18436 Primary Status: Current - Active
Address :
27209 CAMP PLENTY ROAD
SANTA CLARITA CA 91351
LOS ANGELES COUNTY



