Dental Board of California
Licensing details for: 20347
Name: Alhambra Modern Dentistry, Dental Group of Alhambra Modern Dentistry, Inc.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
100 E Main St. #130
ALHAMBRA CA 91801
Map
License Relationships
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: ZAKLAMA, KARIM MAGID
License/Registration Type: Dentist License
License Number: 61349 Primary Status: Current - Active
Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
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: GALSTYAN, MARTIN ARAMIS
License/Registration Type: Dentist License
License Number: 61923 Primary Status: Current - Active
Address :
PO BOX 909
GLENDALE CA 91209
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: HUYNH, PHI CANH
License/Registration Type: Dentist License
License Number: 56413 Primary Status: Current - Active
Address :
11700 Heliotrope Ct
BAKERSFIELD CA 93311-8751
KERN 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: SELF, BRITTANY LAUREN
License/Registration Type: Dentist License
License Number: 107744 Primary Status: Current - Active
Address :
100 E Main St
Suite 130
ALHAMBRA CA 91801-3580
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: LY, JACQUELINE
License/Registration Type: Dentist License
License Number: 110488 Primary Status: Current - Active
Address :
3330 E Foothill Blvd
342
PASADENA CA 91107-3123
LOS ANGELES COUNTY
