Dental Board of California
Licensing details for: 17149
Name: MODERN SMILE DENTISTRY DENTAL PRACTICE OF NIMA MASHHOON DMD MS INC
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: MASHHOON, NIMA
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: MASHHOON, NIMA
License/Registration Type: Dentist License
License Number: 103858 Primary Status: Current - Active
Address :
2151 S College Dr.
103
SANTA MARIA CA 93455
SANTA BARBARA COUNTY
