Dental Board of California
Licensing details for: 59489
Name: MAKHMALBAF, ALI O
License Type: Dentist
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMALBAF
License/Registration Type: Fictitious Name Permit
License Number: 15689 Primary Status: Current - Active
Address :
800 S. CENTRAL AVE # 304
GLENDALE CA 91204
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMAL
License/Registration Type: Fictitious Name Permit
License Number: 12094 Primary Status: Expired
Address :
814 E. BROADWAY AVENUE #4
GLENDALE CA 91205
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: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMAL
License/Registration Type: Fictitious Name Permit
License Number: 12094 Primary Status: Expired
Address :
814 E. BROADWAY AVENUE #4
GLENDALE CA 91205
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: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMALBAF
License/Registration Type: Fictitious Name Permit
License Number: 15689 Primary Status: Current - Active
Address :
800 S. CENTRAL AVE # 304
GLENDALE CA 91204
LOS ANGELES COUNTY
