Dental Board of California
Licensing details for: 2864
Name: KHAKNEGAR, MOHAMMAD
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUN ZONE OF KHAKNEGAR & RODEF DENTAL CORPORATION DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 12830 Primary Status: Cancelled
Address :
6846 RESEDA BLVD, UNIT #C
RESEDA CA 91335
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STARRY SKIES DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 17049 Primary Status: Current - Active
Address :
6024 FALLBROOK AVE SUITE 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: KHAKNEGAR, MOHAMMAD
License/Registration Type: Dentist License
License Number: 58982 Primary Status: Current - Active
Address :
6024 Fallbrook Ave
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY
