Dental Board of California
Licensing details for: 17461
Name: LA DENTAL BOUTIQUE AMIRKHAN DENTAL PRACTICE CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: LA DENTAL BOUTIQUE AMIR KHAN DENTAL PRACTICE CORPORATION ❖ LA DENTAL BOUTIQUE ❖ Amirkhan Dental Corporation
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: AMIR KHAN, ALI
License/Registration Type: Dentist License
License Number: 106457 Primary Status: Current - Active
Address :
1140 S Robertson Blvd
1
LOS ANGELES CA 90035-1457
