Dental Board of California
Licensing details for: 19303
Name: GEM ORTHODONTICS DENTAL PRACTICE OF DR. IRAVANI
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
2880 W OLYMPIC BLVD 201
LOS ANGELES CA 90006
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IRAVANI, GOWHAR
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: IRAVANI, GOWHAR
License/Registration Type: Dentist License
License Number: 63471 Primary Status: Current - Active
Address :
405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES COUNTY
