Dental Board of California
Licensing details for: 17550
Name: CANYON SMILES & ORTHODONTICS DENTAL OFFICE OF DRS EBRAHIMI AND BALAZADEH
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CANYON SMILES & ORTHODONTICS DRS. EBRAHIMI, BALAZADEH ❖ Ebrahimi & Balazadeh Dental Corp
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EBRAHIMI, HOUMAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BALAZADEH, HONEY
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: BALAZADEH, HONEY
License/Registration Type: Dentist License
License Number: 104524 Primary Status: Current - Active
Address :
22276 MACFARLANE DR
WOODLAND HILLS CA 91364
LOS ANGELES COUNTY
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: EBRAHIMI, HOUMAN
License/Registration Type: Dentist License
License Number: 62763 Primary Status: Current - Active
Address :
18279 Soledad Canyon Rd
SANTA CLARITA CA 91387-3533
LOS ANGELES COUNTY
