Dental Board of California
Licensing details for: 8232
Name: SIMON M IMANUEL, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
14124 FOOTHILL BLVD, STE 103
SYLMAR 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: IMANUEL, SIMON MASOOD
License/Registration Type: Dentist License
License Number: 39418 Primary Status: Current - Active
Address :
14114 Polk Street
SYLMAR CA 91342
LOS ANGELES COUNTY
