
Dental Board of California
Licensing details for: 17049
Name: STARRY SKIES DENTAL OF M KHAKNEGAR DDS INCORPORATED DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: STARRY SKIES DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHAKNEGAR, MOHAMMAD
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: KHAKNEGAR, MOHAMMAD
License/Registration Type: Dentist License
License Number: 58982 Primary Status: Current - Active
Address :
6024 Fallbrook Ave
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY