Dental Board of California
Licensing details for: 18436
Name: A NEW SMILE DENTAL OFFICE OF KAKOLI, RAMTIN & TABIBZADEH DENTAL CORP
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: TABIBZADEH, NAVID
License/Registration Type: Dentist License
License Number: 51140 Primary Status: Current - Active
Address :
18653 VENTURA BLVD #117
TARZANA CA 91356
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: RAMTIN, PARHAM
License/Registration Type: Dentist License
License Number: 56049 Primary Status: Current - Active
Address :
13564 VAN NUYS BLVD
PACOIMA CA 91331
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: KAKOLI, PAYMAN
License/Registration Type: Dentist License
License Number: 56151 Primary Status: Current - Active
Address :
18375 VENTURA BLVD #727
TARZANA CA 91356
LOS ANGELES COUNTY
