Dental Board of California
Licensing details for: 11733
Name: EASY DENTAL GROUP, PRACTICE OF BONIHE DENTAL OFFICE INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: EASY DENTAL GROUP PRACTICE OF BONIHE DENTAL OFFICE INC.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GHAVI BONIHE, ALI
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: GHAVI BONIHE, ALI
License/Registration Type: Dentist License
License Number: 49754 Primary Status: Current - Active
Address :
19725 Vanowen St
1
WINNETKA CA 91306-3970
