Dental Board of California
Licensing details for: 4703
Name: PREFERRED DENTAL GROUP, OFFICE OF ELIE, RAFI, SHIDMAND, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
18048 SATICOY STREET
RESEDA CA 91335
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHIDMAND, SEAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RAFI, KEVIN KAMIAR
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELIE, ARASH
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: ELIE, ARASH
License/Registration Type: Dentist License
License Number: 47470 Primary Status: Current - Active
Address :
15740 GREENLEAF STREET
ENCINO CA 91436
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: RAFI, KEVIN KAMIAR
License/Registration Type: Dentist License
License Number: 47552 Primary Status: Current - Active
Address :
21516 Victory Blvd
WOODLAND HILLS CA 91367-2423
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: SHIDMAND, SEAN
License/Registration Type: Dentist License
License Number: 48018 Primary Status: Current - Active
Address :
353 C St
LEMOORE CA 93245-2931
KINGS COUNTY
