Dental Board of California
Licensing details for: 3065
Name: KOHAN, FARNAZ
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: VICTORY PLAZA DENTAL GROUP DENTAL OFFICE OF FARNAZ KOHAN, INC
License/Registration Type: Fictitious Name Permit
License Number: 13250 Primary Status: Current - Active
Address :
13065 VICTORY BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF KOHAN & RODEF DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14457 Primary Status: Current - Active
Address :
500 SAN FERNANDO MISSION BLVD, STE 2
SAN FERNANDO CA 91340
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: KOHAN, FARNAZ
License/Registration Type: Dentist License
License Number: 62906 Primary Status: Current - Active
Address :
13065 Victory Blvd
13065 Victory Plaza
NORTH HOLLYWOOD CA 91606-2925
LOS ANGELES COUNTY
