Dental Board of California
Licensing details for: 19074
Name: DIAMOND BRIGHT DENTAL GROUP COPPELSON DIRECTOR DENTAL PARTNERSHIP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DIRECTOR, CHELSEA MISHA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COPPELSON, KEVIN BEHRANG
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: DIRECTOR, CHELSEA MISHA
License/Registration Type: Dentist License
License Number: 107589 Primary Status: Current - Active
Address :
370 SOUTH OAKLAND AVENUE
PASADENA CA 91101
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: COPPELSON, KEVIN BEHRANG
License/Registration Type: Dentist License
License Number: 101077 Primary Status: Current - Active
Address :
27901 La Paz Rd
Ste D,
LAGUNA NIGUEL CA 92677-3932
