Dental Board of California
Licensing details for: 5627
Name: HEAVENLY DENTAL OFFICE, FESHARAKI & FANI DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
321 N MACLAY AVE, STE A
SAN FERNANDO CA 91340
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FESHARAKI, AMIR MANSOOR
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FANI, NOUSHIN K
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: FANI, NOUSHIN K
License/Registration Type: Dentist License
License Number: 39149 Primary Status: Current - Active
Address :
458 N Bonhill Rd
LOS ANGELES CA 90049-2324
LOS ANGELES COUNTY
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: FESHARAKI, AMIR MANSOOR
License/Registration Type: Dentist License
License Number: 37996 Primary Status: Current - Active
Address :
12660 RIVERSIDE DR
suite 240
VALLEY VILLAGE CA 91607
