Dental Board of California
Licensing details for: 5609
Name: KIDS & FAMILY DENTAL PLACE, DENTAL GROUP OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1201 N PACIFIC AVE, STE 101
GLENDALE CA 91202
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BAYRAMYAN, JACK
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: BAYRAMYAN, JACK
License/Registration Type: Dentist License
License Number: 51044 Primary Status: Current - Active
Address :
2141 Rimcrest Dr
GLENDALE CA 91207-1058
LOS ANGELES COUNTY
