Dental Board of California
Licensing details for: 15972
Name: AVRA DENTAL DENTAL PRACTICE OF JABAITI DENTAL CORPORATION
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: KEIHANI, KOUROSH
License/Registration Type: Dentist License
License Number: 63776 Primary Status: Current - Active
Address :
5000 Parkway Calabasas
unit 308
CALABASAS CA 91302
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: ALIREZAEI, RAMBOD ROBBY
License/Registration Type: Dentist License
License Number: 48872 Primary Status: Current - Active
Address :
11633 San Vicente Blvd Ste 210
LOS ANGELES CA 90049-6513
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: JABAITI, TARIQ
License/Registration Type: Dentist License
License Number: 102526 Primary Status: Current - Active
Address :
8641 Wilshire Blvd
Suite 125
BEVERLY HILLS CA 90211-2900
LOS ANGELES COUNTY
