Dental Board of California
Licensing details for: 17991
Name: CROWN DENTAL & ORTHODONTICS DENTAL OFFICE OF BANDARY & BAROOTY, DDS, A PROFESSIONAL DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BAROOTY, ARIAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BANDARY, DANIEL
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: BAROOTY, ARIAN
License/Registration Type: Dentist License
License Number: 105146 Primary Status: Current - Active
Address :
1295 S La Brea Ave
ste 101
INGLEWOOD CA 90301-1066
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: BANDARY, DANIEL
License/Registration Type: Dentist License
License Number: 107388 Primary Status: Current - Active
Address :
18235 ROSITA ST
TARZANA CA 91356
LOS ANGELES COUNTY
