Dental Board of California
Licensing details for: 9071
Name: FARHAD MANAVI PROFESSIONAL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
5162 WHITTIER BLVD.
LOS ANGELES CA 90022
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: MANAVI, FARHAD
License/Registration Type: Dentist License
License Number: 38558 Primary Status: Current - Active
Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY
