Dental Board of California
Licensing details for: 1713
Name: PICO LA CIENEGA DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
8530 W PICO BLVD
LOS ANGELES CA 90035
LOS ANGELES county
Map
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: KHALILI, EMIL
License/Registration Type: Dentist License
License Number: 36256 Primary Status: Expired
Address :
7136 PACIFIC BLVD
STE 210
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
