Dental Board of California
Licensing details for: 5616
Name: BRENTWOOD CENTER FOR COSMETIC DENTISTRY, DENTAL PRACTICE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
11645 WILSHIRE BLVD, STE 790
LOS ANGELES CA 90025
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NIKNAM, NADER
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: NIKNAM, NADER
License/Registration Type: Dentist License
License Number: 39056 Primary Status: Current - Active
Address :
11645 WILSHIRE BLVD
SUITE 790
LOS ANGELES CA 90025
LOS ANGELES COUNTY
