Dental Board of California
Licensing details for: 18090
Name: DENTAL GROUP OF BUENA PARK DENTAL OFFICE OF MANAVI DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
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: SAREH, ATEFEH
License/Registration Type: Dentist License
License Number: 41993 Primary Status: Current - Active
Address :
12121 Wilshire Blvd
Suite 1111
LOS ANGELES CA 90025-1123
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: MANAVI, FARHAD
License/Registration Type: Dentist License
License Number: 38558 Primary Status: Current - Active
Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY
