Dental Board of California
Licensing details for: 15102
Name: POLISHED DENTAL, DENTAL PRACTICE OF MOLAYEM & NATTIV DENTAL PARTNERSHIP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MOLAYEM, ALEXANDER KAMRAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NATTIV, NINA MOLAYEM
License/Registration Type: Dentist License
License Number: 56690 Primary Status: Current - Active
Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
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: NATTIV, NINA MOLAYEM
License/Registration Type: Dentist License
License Number: 56690 Primary Status: Current - Active
Address :
12820 INGLEWOOD AVE
HAWTHORNE CA 90250
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: MOLAYEM, ALEXANDER KAMRAN
License/Registration Type: Dentist License
License Number: 101179 Primary Status: Cancelled
Address :
9675 Brighton Way
Suite 210
BEVERLY HILLS CA 90210-5100
LOS ANGELES COUNTY
