Dental Board of California
Licensing details for: 10613
Name: TARZANA SMILE DESIGN, DENTAL PRACTICE MONICA MOUSSANEJAD, DDS, IN
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: TARZANA SMILE DESIGN
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAKIMI, DAVID YIGAL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EBEN, ARMON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOUSSANEJAD, MONICA
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MOUSSANEJAD, MONICA
License/Registration Type: Dentist License
License Number: 50788 Primary Status: Current - Active
Address :
5620 Wilbur Avenue
300
TARZANA CA 91356
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: EBEN, ARMON
License/Registration Type: Dentist License
License Number: 50031 Primary Status: Current - Active
Address :
18114 Medley Dr
ENCINO CA 91316-4446
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: HAKIMI, DAVID YIGAL
License/Registration Type: Dentist License
License Number: 49897 Primary Status: Current - Active
Address :
19705 KOMAR DR.
TARZANA CA 91356
LOS ANGELES COUNTY
