Dental Board of California
Licensing details for: 19344
Name: DIAMOND DENTAL SPA DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
20301 VENTURA BLVD SUITE 100
WOODLAND HILLS CA 91364
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOHANFARSI, FARZIN BENJAMIN
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: KOHANFARSI, FARZIN BENJAMIN
License/Registration Type: Dentist License
License Number: 100938 Primary Status: Current - Active
Address :
20218 Wells Dr
WOODLAND HILLS CA 91364-4730
LOS ANGELES COUNTY
