Dental Board of California
Licensing details for: 10952
Name: PREMIER CARE DENTAL GROUP-OFFICE OF ROUHANI & KHABBAZ DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: PREMIER CARE DENTAL CROUP-OFFICE OF ROUHANI & KHABBAZ DENTAL CORPORATION
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ROUHANI, MORVARID
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHABBAZ, LILIANA GABY
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: KHABBAZ, LILIANA GABY
License/Registration Type: Dentist License
License Number: 43987 Primary Status: Current - Active
Address :
22770 Soledad Canyon Rd
SANTA CLARITA CA 91350-2629
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: ROUHANI, MORVARID
License/Registration Type: Dentist License
License Number: 43654 Primary Status: Current - Active
Address :
24119 LANCE PLACE
WEST HILLS CA 91307
LOS ANGELES COUNTY
