Dental Board of California
Licensing details for: 2458
Name: BRENTWOOD DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
11980 SAN VICENTE BLVD SUITE 660
LOS ANGELES CA 90049
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: RASHTI, MAHNAZ
License/Registration Type: Dentist License
License Number: 42412 Primary Status: Current - Active
Address :
9735 WILSHIRE BLVD #307
BEVERLY HILLS CA 90212
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: ROSTAMI, HAROUN
License/Registration Type: Dentist License
License Number: 42411 Primary Status: Current - Active
Address :
11980 San Vicente Blvd
Suite 660
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY
