Dental Board of California
Licensing details for: 17785
Name: KUSP BEVERLY HILLS PEDIATRIC DENTAL GROUP OF DRS GENISH AND WEINGARTEN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Previous Names: Genish Weingarten Dental Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GENISH, ADI AVITAL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WEINGARTEN, FLYNNE V
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: WEINGARTEN, FLYNNE V
License/Registration Type: Dentist License
License Number: 101046 Primary Status: Current - Active
Address :
2930 VENTURA BLVD #226
STUDIO CITY CA 91604
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: GENISH, ADI AVITAL
License/Registration Type: Dentist License
License Number: 62682 Primary Status: Current - Active
Address :
350 S Beverly Dr
Suite 350
BEVERLY HILLS CA 90212-4811
LOS ANGELES COUNTY
