Dental Board of California
Licensing details for: 4754
Name: FAMILY DENTAL CENTER, DENTAL GROUP OF HAMID IMANKHAN,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
13112 SHERMAN WAY
NORTH HOLLYWOOD CA 91605
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 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
