Dental Board of California
Licensing details for: 63905
Name: IZADI, MAZIAR
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
495 east los angeles
SIMI VALLEY CA 93065
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTAL CARE, DENTAL OFFICE OF MAZIAR IZADI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 13390 Primary Status: Expired
Address :
495 E LOS ANGELES AVE
SIMI VALLEY CA 93065
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: FAMILY DENTAL CARE, DENTAL OFFICE OF MAZIAR IZADI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 13390 Primary Status: Expired
Address :
495 E LOS ANGELES AVE
SIMI VALLEY CA 93065
VENTURA COUNTY
