Dental Board of California
Licensing details for: 2693
Name: SANTA MONICA DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
1244 7TH STREET SUITE 101
SANTA MONICA CA 90401
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHORSANDI-SABET, NAZLY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SABET, JOSEPH P
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: SABET, JOSEPH P
License/Registration Type: Dentist License
License Number: 38223 Primary Status: Current - Active
Address :
3138 E CHAPMAN AVE, #A
ORANGE CA 92869
ORANGE 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: KHORSANDI-SABET, NAZLY
License/Registration Type: Dentist License
License Number: 40251 Primary Status: Cancelled
Address :
626 11TH ST
SANTA MONICA CA 90402
LOS ANGELES COUNTY
