Dental Board of California
Licensing details for: 10778
Name: ENSIEH MAZAHERI, DDS, INC.
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
14550 HAYNES ST. #103
VAN NUYS CA 91342
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MAZAHERI, ENSIEH HOURA
License/Registration Type: Dentist License
License Number: 51699 Primary Status: Expired
Address :
4762 PARK GRANADA #265
CALABASAS CA 91302
LOS ANGELES COUNTY
