Dental Board of California
Licensing details for: 57314
Name: TAHERIAN, SHABNAM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: 03301973, SHABNAM
Address of Record
27901 LA PAZ RD STE. D
LAGUNA NIGUEL CA 92677
ORANGE 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: SHABNAM TAHERIAN, DDS
License/Registration Type: Additional Office Permit
License Number: 81995 Primary Status: Current - Active
Address :
33611 DEL OBISPO STREET, SUITE E
DANA POINT CA 92629
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: TAHERIAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80303 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
ORANGE 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: TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80165 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
LAGUNA NIGUEL CA 92677
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF DANA POINT DENTAL GROUP, TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19166 Primary Status: Current - Active
Address :
33611 DEL OBISPO STREET, SUITE E
DANA POINT CA 92629
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAGUNA BEACH DENTAL GROUP TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15367 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAGUNA NIGUEL DENTAL GROUP TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15173 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
SAN MARCOS CA 92069
SAN DIEGO 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: LAGUNA NIGUEL DENTAL GROUP TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15173 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
SAN MARCOS CA 92069
SAN DIEGO 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: LAGUNA BEACH DENTAL GROUP TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15367 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
ORANGE 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 DANA POINT DENTAL GROUP, TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19166 Primary Status: Current - Active
Address :
33611 DEL OBISPO STREET, SUITE E
DANA POINT CA 92629
ORANGE COUNTY
