Dental Board of California
Licensing details for: 3969
Name: LA JOLLA DENTAL GROUP, MEHRACK KAJIAN-FARAJI,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: LA JOLLA DENTAL GROOUP, MEHRACK KAJIAN-FARAJI,
Address of Record
8950 Villa La Jolla Dr Ste 1105
LA JOLLA CA 92037-1705
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHALILI, EMIL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KAJIAN-FARAJI, MEHRACK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KAJIAN-FARAJITABRIZI, MEHRACK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BINAFARD, BEHZAD DANIEL
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: BINAFARD, BEHZAD DANIEL
License/Registration Type: Dentist License
License Number: 37388 Primary Status: Current - Active
Address :
14034 Pioneer Blvd
NORWALK CA 90650-3900
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: KHALILI, EMIL
License/Registration Type: Dentist License
License Number: 36256 Primary Status: Expired
Address :
7136 PACIFIC BLVD
STE 210
HUNTINGTON PARK CA 90255
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: KAJIAN-FARAJITABRIZI, MEHRACK
License/Registration Type: Dentist License
License Number: 46271 Primary Status: Current - Active
Address :
P O BOX 9900
RANCHO SANTA FE CA 92067
SAN DIEGO COUNTY
