Dental Board of California
Licensing details for: 2121
Name: BURBANK/GLENDALE DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
500 EAST OLIVE AVENUE
SUITE 430
BURBANK CA 91501
LOS ANGELES county
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: PARHAM, SOHAIL
License/Registration Type: Dentist License
License Number: 38214 Primary Status: Current - Active
Address :
4955 VAN NUYS BLVD SUITE 520
SHERMAN OAKS CA 91403
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: SHIRAZI-ARDESTANI, BEHZAD
License/Registration Type: Dentist License
License Number: 37368 Primary Status: Current - Active
Address :
4366 Tujunga Avenue
STUDIO CITY CA 91604
LOS ANGELES COUNTY
