Dental Board of California
Licensing details for: 13699
Name: BURBANK/GLENDALE DENTAL GROUP, BEHZAD SHIRAZI ARDESTANI INC. A PROFESSIONAL DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
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: SHIRAZI-ARDESTANI, BEHZAD
License/Registration Type: Dentist License
License Number: 37368 Primary Status: Current - Active
Address :
4366 Tujunga Avenue
STUDIO CITY CA 91604
LOS ANGELES COUNTY
