Dental Board of California
Licensing details for: 2250
Name: LAKE ELSINORE DENTAL GROUP, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
SOHEIL PISHGAR LEVI, DDS, INC.
32235 MISSION TRAIL, SUITE 8
LAKE ELSINORE CA 92530
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEVI, SOHEIL PISHGAR
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: LEVI, SOHEIL PISHGAR
License/Registration Type: Dentist License
License Number: 39195 Primary Status: Current - Active
Address :
6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES COUNTY
