Dental Board of California
Licensing details for: 58304
Name: YAGHOUBI, EDMOND
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1748 S Corning St
LOS ANGELES CA 90035-4302
LOS ANGELES 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: ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79778 Primary Status: Cancelled
Address :
5628 VAN BUREN BLVD, STE A
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF, YAGHOUBI, ROBLES DENTAL OFFICE OF COLTON, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17972 Primary Status: Expired
Address :
1280 E. WASHINGTON STREET, SUITE B10,
COLTON CA 92324
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUN ZONE VI, DENTAL PRACTICE OF YOUSEFI, RODEF
License/Registration Type: Fictitious Name Permit
License Number: 10615 Primary Status: Current - Active
Address :
8525 W. PICO BOULEVARD
LOS ANGELES CA 90035
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14480 Primary Status: Cancelled
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF ROBLES, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15624 Primary Status: Current - Active
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE 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: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF, YAGHOUBI, ROBLES DENTAL OFFICE OF COLTON, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17972 Primary Status: Expired
Address :
1280 E. WASHINGTON STREET, SUITE B10,
COLTON CA 92324
SAN BERNARDINO 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: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14480 Primary Status: Cancelled
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE 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: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF ROBLES, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15624 Primary Status: Current - Active
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE 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: CHILDREN'S DENTAL FUN ZONE VI, DENTAL PRACTICE OF YOUSEFI, RODEF
License/Registration Type: Fictitious Name Permit
License Number: 10615 Primary Status: Current - Active
Address :
8525 W. PICO BOULEVARD
LOS ANGELES CA 90035
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: YAGHOUBI, EDMOND
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2709 Primary Status: Cancelled
Address :
1467 S HOLT AVE
LOS ANGELES CA 90035
LOS ANGELES COUNTY
