Dental Board of California
Licensing details for: 2570
Name: BEVERLY HILLS CENTER FOR PERIO &
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
416 NORTH BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GILANI, SAM
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: GILANI, SAM
License/Registration Type: Dentist License
License Number: 32308 Primary Status: Current - Active
Address :
9663 Santa Monica Blvd
#1078
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY
