Dental Board of California
Licensing details for: 3382
Name: GENISH, ADI AVITAL
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
7811 COWPER AVENUE
WEST HILLS CA 91304
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: Genish Weingarten Dental Corporation
License/Registration Type: Fictitious Name Permit
License Number: 17785 Primary Status: Cancelled
Address :
350 S BEVERLY DR STE 350
BEVERLY HILLS CA 90212
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KUSP BEVERLY HILLS PEDIATRIC DENTAL PRACTICE OF DR. ADI GENISH
License/Registration Type: Fictitious Name Permit
License Number: 18031 Primary Status: Current - Active
Address :
350 S. BEVERLY DR. SUITE 350
BEVERLY HILLS CA 90212
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: GENISH, ADI AVITAL
License/Registration Type: Dentist License
License Number: 62682 Primary Status: Current - Active
Address :
350 S Beverly Dr
Suite 350
BEVERLY HILLS CA 90212-4811
LOS ANGELES COUNTY
