Dental Board of California
Licensing details for: 19341
Name: CLOVE DENTAL SHERMAN OAKS DENTAL OFFICE OF SHALABH PURI DDS INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
14652 VENTURA BLVD 200
SHERMAN OAKS CA 91403
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PURI, SHALABH
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: PURI, SHALABH
License/Registration Type: Dentist License
License Number: 34890 Primary Status: Current - Active
Address :
140 NORTH A STREET
OXNARD CA 93030
VENTURA COUNTY
