Dental Board of California
Licensing details for: 5279
Name: TARZANA DENTAL CENTER, A DENTAL GROUP OF FARA SALEHI, DDS,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
18740 VENTURA BLVD, STE 105
TARZANA CA 91356
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SALEHI, FARA
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: SALEHI, FARA
License/Registration Type: Dentist License
License Number: 36608 Primary Status: Current - Active
Address :
18740 VENTURA BLVD, STE 105
TARZANA CA 91356
LOS ANGELES COUNTY
