Dental Board of California
Licensing details for: 2937
Name: CALIFORNIA DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2040 GLENOAKS BLVD #F
SAN FERNANDO CA 91340
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAZDEYASNAN, AFSHIN
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: MAZDEYASNAN, AFSHIN
License/Registration Type: Dentist License
License Number: 41114 Primary Status: Current - Active
Address :
18250 ROSCOE BLVD
STE 345
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
