Dental Board of California
Licensing details for: 12863
Name: SHERMAN OAKS DENTAL AESTHETICS BARSAM DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BARSAM, RAFFI ROBERT
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: BARSAM, RAFFI ROBERT
License/Registration Type: Dentist License
License Number: 52828 Primary Status: Current - Active
Address :
4530 Sherman Oaks Ave
SHERMAN OAKS CA 91403-3010
LOS ANGELES COUNTY
