Dental Board of California
Licensing details for: 4461
Name: BELL PLAZA DENTAL GROUP OF FATEMI DDS, IMANKHAN DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
6343 ATLANTIC AVE, #C
BELL CA 90201
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IMANKHAN, HAMID REZA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ABEDINI, KENNY KAMBIZ
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FATEMI, MOJDEH
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: IMANKHAN, HAMID REZA
License/Registration Type: Dentist License
License Number: 46073 Primary Status: Current - Active
Address :
11395 Atlantic Ave
LYNWOOD CA 90262-2485
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: ABEDINI, KENNY KAMBIZ
License/Registration Type: Dentist License
License Number: 45423 Primary Status: Current - Active
Address :
3816 Woodruff Ave
104
LONG BEACH CA 90808-2147
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: FATEMI, MOJDEH
License/Registration Type: Dentist License
License Number: 45857 Primary Status: Current - Active
Address :
5707 Atlantic Blvd
Suite A1
Bell Plaza Dental
MAYWOOD CA 90270-2944
LOS ANGELES COUNTY
