Dental Board of California
Licensing details for: 63623
Name: GHAFFARZADEGAN, BAHARAK
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1760 E. Avenida de los Arboles
Suite A
THOUSAND OAKS CA 91362
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: LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79240 Primary Status: Cancelled
Address :
1760 E Avenida De Los Arboles Ste A
THOUSAND OAKS CA 91362-1392
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: LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80356 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES, SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15450 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES., SUITE A
THOUSAND OAKS CA 91362
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: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13336 Primary Status: Cancelled
Address :
1760 E AVENIDA DE LOS ARBOLES SUITE A
THOUSAND OAKS CA 91362
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: THOUSAND OAKS DENTAL GROUP LAMBRIDIS AND GHAFFARZADEGAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15450 Primary Status: Current - Active
Address :
1760 E. AVENIDA DE LOS ARBOLES., SUITE A
THOUSAND OAKS CA 91362
VENTURA COUNTY
