Dental Board of California
Licensing details for: 61929
Name: KHAZALI, MARAL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
452 Twin Oaks Ct
THOUSAND OAKS CA 91362-3166
VENTURA 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: MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80209 Primary Status: Current - Active
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
VENTURA 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: KHAZALI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79232 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OXNARD MODERN DENTISTRY DENTAL GROUP MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15199 Primary Status: Current - Active
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA 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: OXNARD MODERN DENTISTRY DENTAL GROUP MARAL KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15199 Primary Status: Current - Active
Address :
2150 N. ROSE AVENUE
OXNARD CA 93036
VENTURA 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: MAIN STREET DENTAL GROUP, KHAZALI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13358 Primary Status: Current - Active
Address :
4360-C E MAIN STREET
VENTURA CA 93003
VENTURA COUNTY
