Dental Board of California
Licensing details for: 13916
Name: VIP DENTAL SPAS DENTAL GROUP, SHERWIN MATIAN, DMD, A DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired

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: MATIAN, SHERWIN
License/Registration Type: Dentist License
License Number: 61495 Primary Status: Current - Active
Address :
8704 Santa Monica Blvd
Unit #201
WEST HOLLYWOOD CA 90069-4555
LOS ANGELES COUNTY



