Dental Board of California
Licensing details for: 13151
Name: KOOL DENTAL AND BRACES OF VAN NUYS ALEXANDRIAN DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALEXANDRIAN, NAREG
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: ALEXANDRIAN, NAREG
License/Registration Type: Dentist License
License Number: 49835 Primary Status: Current - Active
Address :
2156 MENDOCINO LANE
ALTADENA CA 91001
LOS ANGELES COUNTY
