Dental Board of California
Licensing details for: 14892
Name: COMMUNITY DENTAL GROUP, PRACTICE OF PEDRAM MASTOUR
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: SABBAGH FARD, ARASH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MASTOUR, PEDRAM ELI
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: SABBAGH FARD, ARASH
License/Registration Type: Dentist License
License Number: 48007 Primary Status: Current - Active
Address :
5620 SAWTELLE BLVD
CULVER CITY CA 90230
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: MASTOUR, PEDRAM ELI
License/Registration Type: Dentist License
License Number: 47525 Primary Status: Current - Active
Address :
5620 SAWTELLE BLVD
CULVER CITY CA 90230
LOS ANGELES COUNTY
