Dental Board of California
Licensing details for: 20526
Name: Park Place Dental Group, Inc.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
501 S. Reino Road, Suite G
NEWBURY PARK CA 91320
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: SONI, AYESHA
License/Registration Type: Dentist License
License Number: 110734 Primary Status: Current - Active
Address :
4738 SAN LUCAS WAY
SAN JOSE CA 95135
SANTA CLARA 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: GILBERT, JADE
License/Registration Type: Dentist License
License Number: 106208 Primary Status: Current - Active
Address :
1197 E Los Angeles Ave
Suite E
SIMI VALLEY CA 93065-2868
VENTURA COUNTY
