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Licensing details for: 81567

Name: GOGILTAN -WAXLER AND SETAREH DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3013 COCHRAN STREET, SUITE D
SIMI VALLEY CA 93065
VENTURA county
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Practice Location

3013 COCHRAN STREET, SUITE D
SIMI VALLEY CA 93065
VENTURA county
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Issuance Date

August 1, 2023

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
3:42:15 PM

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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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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: GOGILTAN-WAXLER, ELENA LUCIA

License/Registration Type: Dentist License

License Number: 47080 Primary Status: Current - Active

Address :
3013 COCHRAN ST
# D
SIMI VALLEY CA 93065
VENTURA COUNTY

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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: SETAREH, KATAYOUN

License/Registration Type: Dentist License

License Number: 50822 Primary Status: Current - Active

Address :
18519 Devonshire St
NORTHRIDGE CA 91324-1308

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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: WATANABE, LYNDA CAROL

License/Registration Type: Dentist License

License Number: 40116 Primary Status: Current - Active

Address :
8715 Trautwein Rd
RIVERSIDE CA 92508-9474
RIVERSIDE COUNTY

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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: LAMBRIDIS, DEAN

License/Registration Type: Dentist License

License Number: 51199 Primary Status: Current - Active

Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA COUNTY

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