Dental Board of California
Licensing details for: 2095
Name: NASSIRI, JUSTIN BIJAN
License Type: Dentist General Anesthesia
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 17811 Primary Status: Expired
Address :
1111 E. HERNDON AVE #104
FRESNO CA 93720
FRESNO COUNTY
GA to DDS or OMS or SP
License/Registration Role: General Anesthesia Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: NASSIRI, JUSTIN BIJAN
License/Registration Type: Dentist License
License Number: 102517 Primary Status: Current - Active
Address :
1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO COUNTY
