Dental Board of California
Licensing details for: 5054
Name: OCEAN DENTAL OFFICE OF SANTA MONICA, NAZLY KHORSANDI, DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1244 7TH ST, STE 102
SANTA MONICA CA 90401
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHORSANDI-SABET, NAZLY
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: KHORSANDI-SABET, NAZLY
License/Registration Type: Dentist License
License Number: 40251 Primary Status: Cancelled
Address :
626 11TH ST
SANTA MONICA CA 90402
LOS ANGELES COUNTY
