Dental Board of California
Licensing details for: 18031
Name: KUSP BEVERLY HILLS PEDIATRIC DENTAL PRACTICE OF DR. ADI GENISH
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: GENISH, ADI AVITAL
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: 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
