Dental Board of California
Licensing details for: 56413
Name: HUYNH, PHI CANH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11700 Heliotrope Ct
BAKERSFIELD CA 93311-8751
KERN 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: SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79332 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH ROAD
CA 91355
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: MICHAEL ORTEGA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80881 Primary Status: Current - Active
Address :
43531 10TH STREET W.
LANCASTER CA 93534
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: SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80218 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
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: YASMIN EASLEY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79578 Primary Status: Cancelled
Address :
38209 47TH ST EAST STE E
PALMDALE CA 93552
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: TREVOR J. THOMAS, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81164 Primary Status: Cancelled
Address :
12050 VENTURA BLVD., SUITE C-101
STUDIO CITY CA 91604
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82107 Primary Status: Current - Active
Address :
10930 MAGNOLIA BLVD.
NORTH HOLLYWOOD CA 91601
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: SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79364 Primary Status: Current - Active
Address :
5353 GOSFORD ROAD, SUITE 103
BAKERSFIELD CA 93313
KERN 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: KEDIA AND WATANABE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80512 Primary Status: Current - Active
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: HANNA AND ZAKLAMA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81524 Primary Status: Current - Active
Address :
10306 SEPULVEDA BLVD.
MISSION HILLS CA 91345
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: AMBER GILBERT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81481 Primary Status: Cancelled
Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
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: DENTAL CORPORATION OF SOLAIMAN TEHRANI
License/Registration Type: Additional Office Permit
License Number: 81543 Primary Status: Current - Active
Address :
255 N. ROSEMEAD BLVD
PASADENA CA 91107
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82368 Primary Status: Current - Active
Address :
2150 N. Rose Avenue
OXNARD CA 93036
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: JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79933 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD, SUITE A
GLENDALE CA 91204
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: SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80507 Primary Status: Current - Active
Address :
605 W. ROUTE 66
GLENDORA CA 91741
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82114 Primary Status: Current - Active
Address :
11120 STOCKDALE HWY. SUITE 103
BAKERSFIELD CA 93311
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: DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.
License/Registration Type: Additional Office Permit
License Number: 81528 Primary Status: Current - Active
Address :
1197 E. Los Angeles Avenue
Suite E
SIMI VALLEY CA 93065
VENTURA 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: KARIM ZAKLAMA, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81539 Primary Status: Current - Active
Address :
892 W. BEVERLY BLVD.
MONTEBELLO CA 90640
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82150 Primary Status: Current - Active
Address :
12050 VENTURA BLVD. STE. C-101
STUDIO CITY CA 91604
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82376 Primary Status: Current - Active
Address :
755 W. Rancho Vista Blvd.
PALMDALE CA 93551
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82435 Primary Status: Current - Active
Address :
38209 47th Street East, Suite E
PALMDALE CA 93552
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: KHAZALI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79232 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA 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: JOSEPH HANNA, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79676 Primary Status: Current - Active
Address :
10316 MASON AVENUE
CHATSWORTH CA 91311
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: MCDONOUGH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80972 Primary Status: Current - Active
Address :
12013 WILSHIRE BLVD
LOS ANGELES CA 90025
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: DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.
License/Registration Type: Additional Office Permit
License Number: 81268 Primary Status: Cancelled
Address :
1197 E. LOS ANGELES AVENUE, SUITE E
SIMI VALLEY CA 93065
VENTURA 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: TERRI NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81683 Primary Status: Current - Active
Address :
26877 SIERRA HIGHWAY
NEWHALL CA 91321
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: HOYLE AND HUSS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79366 Primary Status: Cancelled
Address :
501 S REINO ROAD, SUITE G
NEWBURY PARK CA 91320
VENTURA 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: YEATON AND MAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80102 Primary Status: Current - Active
Address :
1381 W CHANNEL ISLANDS BLVD
OXNARD CA 93033
VENTURA 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: ELIE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79449 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
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: JEDEDIAH V. HUSS, D.D.S., INC
License/Registration Type: Additional Office Permit
License Number: 79439 Primary Status: Cancelled
Address :
5784 LINDERO CANYON RD STE B
THOUSAND OAKS CA 91362
VENTURA 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: MAGDOS AND SETAREH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79669 Primary Status: Cancelled
Address :
1197 E. LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
VENTURA 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: SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79441 Primary Status: Cancelled
Address :
605 W ROUTE 66
GLENDORA CA 91741
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: LINDA BANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80979 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN 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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82531 Primary Status: Current - Active
Address :
24939 Pico Canyon Road
STEVENSON RANCH CA 91381
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: MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80209 Primary Status: Cancelled
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
VENTURA 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: HANNA AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80124 Primary Status: Cancelled
Address :
12050 VENTURA BLVD., SUITE C-101
STUDIO CITY CA 91604
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: SHAH AND HUYNH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79899 Primary Status: Current - Active
Address :
1403 ALLEN RD STE 1000
BAKERSFIELD CA 93314
KERN 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: DOUGLAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81416 Primary Status: Cancelled
Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
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: PHI CANH HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82307 Primary Status: Current - Active
Address :
8393 Topanga Canyon Blvd.
CANOGA PARK CA 91304
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: PHI CANH HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82264 Primary Status: Current - Active
Address :
16380 Village Way
SANTA CLARITA CA 91387
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: BRYAN WATANABE, D.D.S., DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79454 Primary Status: Cancelled
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: PHI HUYNH, DDS
License/Registration Type: Additional Office Permit
License Number: 82219 Primary Status: Current - Active
Address :
501 S Reino Rd., Ste. G
NEWBURY PARK CA 91320
VENTURA 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: PATEL AND HUSS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80145 Primary Status: Current - Active
Address :
5784 LINDERO CANYON ROAD, SUITE B
WESTLAKE VILLAGE CA 91362
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: OXNARD MODERN DENTISTRY DENTAL GROUP MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15199 Primary Status: Current - Active
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
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: LINDERO CANYON DENTAL GROUP, JEDEDIAH V. HUSS, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13747 Primary Status: Expired
Address :
5784 LINDERO CANYON RD STE B
THOUSAND OAKS CA 91362
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: LINDERO CANYON DENTAL GROUP PATEL AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15095 Primary Status: Current - Active
Address :
5784 LINDERO CANYON ROAD, SUITE B
THOUSAND OAKS CA 91362
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: LANCASTER MODERN DENTISTRY DENTAL GROUP MICHAEL ORTEGA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16472 Primary Status: Current - Active
Address :
43531 10TH STREET W.
LANCASTER CA 93534
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: NOHO MODERN DENTISTRY DENTAL GROUP, DOUGLAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17633 Primary Status: Current - Active
Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
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: FIRST STREET DENTAL GROUP, DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.
License/Registration Type: Fictitious Name Permit
License Number: 17865 Primary Status: Current - Active
Address :
1197 E. Los Angeles Avenue
Suite E
SIMI VALLEY CA 93065
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: GATEWAY DENTAL GROUP, YASMIN EASLEY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14003 Primary Status: Current - Active
Address :
38209 47TH ST EAST STE E
PALMDALE CA 93552
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: OXNARD SMILES DENTISTRY DENTAL GROUP YEATON AND MAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15054 Primary Status: Current - Active
Address :
1381 W CHANNEL ISLANDS BLVD
OXNARD CA 93033
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: VALENCIA DENTAL GROUP AT COPPER HILL SAFARKOOLAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13516 Primary Status: Current - Active
Address :
28134 NEWHALL RANCH RD
VALENCIA CA 91355
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: DENTISTS OF STUDIO CITY DENTAL GROUP HANNA AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15075 Primary Status: Expired
Address :
12050 VENTURA BLVD., SUITE C-101
STUDIO CITY CA 91604
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: DENTISTS OF BAKERSFIELD DENTAL GROUP SHAH AND HUYNH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14614 Primary Status: Current - Active
Address :
1403 ALLEN RD STE 1000
BAKERSFIELD CA 93314
KERN 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: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
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: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
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: BRENTWOOD MODERN DENTISTRY DENTAL GROUP, MCDONOUGH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16582 Primary Status: Current - Active
Address :
12013 WILSHIRE BLVD
LOS ANGELES CA 90025
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: MISSION HILLS MODERN DENTISTRY DENTAL GROUP, HANNA AND ZAKLAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17851 Primary Status: Current - Active
Address :
10306 SEPULVEDA BLVD.
MISSION HILLS CA 91345
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: HASTINGS RANCH DENTAL GROUP, DENTAL CORPORATION OF SOLAIMAN TEHRANI
License/Registration Type: Fictitious Name Permit
License Number: 17900 Primary Status: Current - Active
Address :
255 N. Rosemead Blvd.
PASADENA CA 91107
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: FIRST STREET DENTAL GROUP, DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.
License/Registration Type: Fictitious Name Permit
License Number: 17267 Primary Status: Cancelled
Address :
1197 E. LOS ANGELES AVENUE, SUITE E
SIMI VALLEY CA 93065
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: PARK PLACE DENTAL GROUP, DENTAL CORPORATION OF JADE GILBERT
License/Registration Type: Fictitious Name Permit
License Number: 18990 Primary Status: Current - Active
Address :
501 S. REINO ROAD, SUITE G
NEWBURY PARK CA 91320
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: GOSFORD VILLAGE DENTAL GROUP, SHAH AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13597 Primary Status: Current - Active
Address :
5353 GOSFORD RD STE 103
BAKERSFIELD CA 93313
KERN 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: EMPIRE DENTAL GROUP, ELIE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13775 Primary Status: Current - Active
Address :
1635 N VICTORY PL
BURBANK CA 91502
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: GLENDORA SMILES DENTISTRY DENTAL GROUP SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13757 Primary Status: Cancelled
Address :
605 W ROUTE 66
GLENDORA CA 91741
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: FIRST STREET DENTAL GROUP, MAGDOS AND SETAREH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14223 Primary Status: Cancelled
Address :
1197 E LOS ANGELES AVE STE E
SIMI VALLEY CA 93065
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: CHATSWORTH DENTISTRY DENTAL GROUP JOSEPH HANNA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 14232 Primary Status: Current - Active
Address :
10316 MASON AVENUE
CHATSWORTH CA 91311
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: HASLEY CANYON DENTAL GROUP, BRYAN WATANABE, D.D.S., DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13768 Primary Status: Cancelled
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: MISSION HILLS MODERN DENTISTRY DENTAL GROUP SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15200 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
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: HASLEY CANYON DENTAL GROUP KEDIA AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15680 Primary Status: Current - Active
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
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: BAKERSFIELD DENTAL GROUP LINDA BANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16463 Primary Status: Current - Active
Address :
5120 STOCKDALE HWY, SUITE D
BAKERSFIELD CA 93309
KERN 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: ALHAMBRA MODERN DENTISTRY DENTAL GROUP, GALSTYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18482 Primary Status: Current - Active
Address :
100 E. MAIN STREET, #130
ALHAMBRA CA 91801
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: STOCKDALE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP PHI HUYN
License/Registration Type: Fictitious Name Permit
License Number: 10597 Primary Status: Expired
Address :
11120 STOCKDALE HIGHWAY, STE. 103
BAKERSFIELD CA 93311
KERN 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: PARK PLACE DENTAL GROUP, HOYLE AND HUSS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13599 Primary Status: Cancelled
Address :
501 S REINO RD STE G
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: GLENDORA SMILES DENTISTRY DENTAL GROUP, SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15685 Primary Status: Current - Active
Address :
605 W ROUTE 66
GLENDORA CA 91741
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: DENTISTS OF ROSEMEAD DENTAL GROUP, CLAUDIA CAMACHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18494 Primary Status: Current - Active
Address :
1717 WALNUT GROVE AVENUE SUITE 500
ROSEMEAD CA 91770
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: DENTISTS OF MONTEBELLO DENTAL GROUP, KARIM ZAKLAMA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17696 Primary Status: Current - Active
Address :
892 W. BEVERLY BLVD.
MONTEBELLO CA 90640
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: DENTISTS OF CANOGA PARK DENTAL GROUP, AMBER GILBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17740 Primary Status: Current - Active
Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES COUNTY
