Dental Board of California
Licensing details for: 17795
Name: DENTAL HOUSE DENTAL PRACTICE OF KERENDIAN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: 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: KERENDIAN, MICHAEL M
License/Registration Type: Dentist License
License Number: 102874 Primary Status: Current - Active
Address :
13320 Riverside Dr
Ste #202
SHERMAN OAKS CA 91423-2502
LOS ANGELES COUNTY
