Dental Board of California
Licensing details for: 19502
Name: OPEN DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
6817 BALBOA BLVD UNIT: A
VAN NUYS CA 91406
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EVINI, MEHRAN
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: EVINI, MEHRAN
License/Registration Type: Dentist License
License Number: 108546 Primary Status: Current - Active
Address :
20168 Livorno Way
PORTER RANCH CA 91326-4074
LOS ANGELES COUNTY
