Dental Board of California
Licensing details for: 12465
Name: SALUD DENTAL GROUP, DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: SALUD DENTAL, DR. KHAKSHOOY AND DR. VAHEDI DENTAL GROUP INC. ❖ SALUD DENTAL, DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.
Address of Record
2621 E. 1ST STREET
LOS ANGELES CA 90033
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHAKSHOOY, SIAMAK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VAHEDI, SOHEIL
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: KHAKSHOOY, SIAMAK
License/Registration Type: Dentist License
License Number: 54539 Primary Status: Current - Active
Address :
3451 W CENTURY BLVD STE# B-1
INGLEWOOD CA 90304
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: VAHEDI, SOHEIL
License/Registration Type: Dentist License
License Number: 54735 Primary Status: Current - Active
Address :
2621 E 1st St
2621 E. 1st Street
LOS ANGELES CA 90033-3505
