Dental Board of California
Licensing details for: 82778
Name: SIAMAK KHAKSHOOY, DDS
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
3451 W Century Blvd Ste B1
INGLEWOOD CA 90303-1228
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: KHAKSHOOY, SIAMAK
License/Registration Type: Dentist License
License Number: 54539 Primary Status: Current - Active
Address :
3451 W CENTURY BLVD STE# B-1
INGLEWOOD CA 90304
LOS ANGELES COUNTY
