Dental Board of California
Licensing details for: 17036
Name: BELLA DENTAL PRACTICE OF DR. COHEN
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COHEN, MAHYAR
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: Cohen, Mahyar
License/Registration Type: Dentist License
License Number: 100266 Primary Status: Current - Active
Address :
5243 Yarmouth Ave
22
ENCINO CA 91316-3109
LOS ANGELES COUNTY
