Dental Board of California
Licensing details for: 61495
Name: MATIAN, SHERWIN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Method of Application: Licensure by Residency
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: S. MATIAN DMD A DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 80014 Primary Status: Cancelled
Address :
6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
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: VIP DENTAL SPAS DENTAL GROUP, SHERWIN MATIAN, DMD, A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13916 Primary Status: Expired
Address :
8747 SANTA MONICA BLVD
WEST HOLLYWOOD CA 90069
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: VIP DENTAL SPAS DENTAL GROUP MATIAN HAKHAMIAN PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 12154 Primary Status: Cancelled
Address :
8747 SANTA MONICA BLVD
WEST HOLLYWOOD CA 90069
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: DENTAL OFFICE DE LENNOX
License/Registration Type: Fictitious Name Permit
License Number: 19679 Primary Status: Current - Active
Address :
4500 LENNOX BLVD
INGLEWOOD CA 90304
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: DASH DENTAL SPAS DENTAL PRACTICE OF S. MATIAN DMD INC
License/Registration Type: Fictitious Name Permit
License Number: 14956 Primary Status: Cancelled
Address :
6333 WILSHIRE BLVD #311
LOS ANGELES CA 90048
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 Lounge West Hollywood Dental group
License/Registration Type: Fictitious Name Permit
License Number: 19954 Primary Status: Current - Active
Address :
8704 Santa Monica Blvd Suite 201 A
WEST HOLLYWOOD CA 90069-4555
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: MATIAN, SHERWIN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2802 Primary Status: Cancelled
Address :
8747 Santa Monica Blvd
WEST HOLLYWOOD CA 90069-4507
LOS ANGELES COUNTY



