Dental Board of California
Licensing details for: 17201
Name: SMILE HEROES DENTAL PRACTICE OF REZAIE GPRS DENTAL GROUP, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: REZAIE, SANAZ R
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: REZAIE, SANAZ R
License/Registration Type: Dentist License
License Number: 59610 Primary Status: Current - Active
Address :
4691 LUNA COURT
CALABASAS CA 91302
LOS ANGELES COUNTY
