Dental Board of California
Licensing details for: 12094
Name: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMAL
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: GLENDALE DENTAL ART CENTER DENTAL PRACTICE MIRMARASHI & MAKHMALBAF DENTAL CORPORATION
Address of Record
814 E. BROADWAY AVENUE #4
GLENDALE CA 91205
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MIRMARASHI, BABAK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAKHMALBAF, ALI O
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: MAKHMALBAF, ALI O
License/Registration Type: Dentist License
License Number: 59489 Primary Status: Current - Active
Address :
800 S Central Ave
304
GLENDALE CA 91204-4370
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: MIRMARASHI, BABAK
License/Registration Type: Dentist License
License Number: 55768 Primary Status: Current - Active
Address :
10921 WILSHIRE BL #501
LOS ANGELES CA 90024
LOS ANGELES COUNTY
