Dental Board of California
Licensing details for: 64640
Name: ESMAILIAN LARI, SOMA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: ESMAILIAN LARI, SOMA
License/Registration Type: Conscious Sedation Permit
License Number: 1246 Primary Status: Cancelled
Address :
6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOOTHILL DENTAL SPECIALTY DENTAL GROUP OF DR. ESMAILIAN LARI
License/Registration Type: Fictitious Name Permit
License Number: 18577 Primary Status: Current - Active
Address :
6803 FOOTHILL BLVD
TUJUNGA CA 91042
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: FOOTHILL DENTAL SPECIALTY DENTAL GROUP OF DR. ESMAILIAN LARI
License/Registration Type: Fictitious Name Permit
License Number: 18577 Primary Status: Current - Active
Address :
6803 FOOTHILL BLVD
TUJUNGA CA 91042
LOS ANGELES COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: ESMAILIAN LARI, SOMA
License/Registration Type: Moderate Sedation Permit
License Number: 243 Primary Status: Current - Active
Address :
6803 Foothill Blvd
TUJUNGA CA 91042-2710
LOS ANGELES COUNTY
