Dental Board of California
Licensing details for: 3033
Name: HI-DESERT DENTAL CENTER - DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
2205 EAST PALMDALE BLVD
PALMDALE CA 93550
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOHANOFF, SHARONA
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: KOHANOFF, SHARONA
License/Registration Type: Dentist License
License Number: 43622 Primary Status: Current - Active
Address :
18301 RANCHO STREET
TARZANA CA 91356
LOS ANGELES COUNTY
