Dental Board of California
Licensing details for: 4636
Name: CITI DENTAL GROUP, A TABIB DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
6900 RESEDA BLVD, STE C
RESEDA CA 91335
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TABIB, KAMRAN
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: TABIB, KAMRAN
License/Registration Type: Dentist License
License Number: 45203 Primary Status: Current - Active
Address :
6900 RESEDA BLVD #C
RESEDA CA 91335
LOS ANGELES COUNTY
