Dental Board of California
Licensing details for: 1690
Name: COLUMBUS DENTAL GROUP AMIR NESHAT DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
17756 SATICOY STREET
RESEDA CA 91335
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NESHAT, AMIR
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: NESHAT, AMIR
License/Registration Type: Dentist License
License Number: 41965 Primary Status: Cancelled
Address :
340 COMMERCE
SUITE 100
IRVINE CA 92602
ORANGE COUNTY
