Dental Board of California
Licensing details for: 4403
Name: PARKSIDE DENTAL GROUP, H ROSTAMI, DDS, A
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2428 SANTA MONICA BLVD, #403
SANTA MONICA CA 90404
LOS ANGELES county
Map
License Relationships
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: ROSTAMI, HAROUN
License/Registration Type: Dentist License
License Number: 42411 Primary Status: Current - Active
Address :
11980 San Vicente Blvd
Suite 660
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY
