Dental Board of California
Licensing details for: 920
Name: MANSOURI, PARNAZ BARNAJIAN
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: BARNAJIAN, PARNAZ
Address of Record
16550 Ventura Blvd Ste 322
ENCINO CA 91436-5023
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINO PEDIATRIC DENTAL GROUP PEDIATRIC DENTAL OFFICE OF DRS. MAN
License/Registration Type: Fictitious Name Permit
License Number: 12111 Primary Status: Current - Active
Address :
16550 VENTURA BLVD, SUITE 322
ENCINO CA 91436
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: MANSOURI, PARNAZ BARNAJIAN
License/Registration Type: Dentist License
License Number: 53051 Primary Status: Current - Active
Address :
16550 VENTURA BLVD SUITE 322
ENCINO CA 91436
LOS ANGELES COUNTY
