Dental Board of California
Licensing details for: 59610
Name: REZAIE, SANAZ R
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4691 LUNA COURT
CALABASAS CA 91302
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE HEROES DENTAL PRACTICE OF REZAIE GPRS DENTAL GROUP, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17201 Primary Status: Expired
Address :
8936 GLENOAKS BLVD., STE B
SUN VALLEY CA 91352
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: SMILE HEROES DENTAL PRACTICE OF REZAIE GPRS DENTAL GROUP, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17201 Primary Status: Expired
Address :
8936 GLENOAKS BLVD., STE B
SUN VALLEY CA 91352
LOS ANGELES COUNTY
