Dental Board of California
Licensing details for: 17597
Name: WEST LA DENTAL DENTAL OFFICE OF DR. AFSHIN GOLYAD
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: WEST LA DENTAL
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: GOLYAD, AFSHIN
License/Registration Type: Dentist License
License Number: 43162 Primary Status: Current - Active
Address :
12340 SANTA MONICA BLVD #241
LOS ANGELES CA 90025
LOS ANGELES COUNTY



