Dental Board of California
Licensing details for: 5791
Name: FIRST STREET DENTAL GROUP, SETAREH SHENAS DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1197 E LOS ANGELES AVE, STE E
SIMI VALLEY CA 93065
VENTURA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SETAREH, KATAYOUN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHENAS, KATAYOUN SETAREH
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: SETAREH, KATAYOUN
License/Registration Type: Dentist License
License Number: 50822 Primary Status: Current - Active
Address :
18519 Devonshire St
NORTHRIDGE CA 91324-1308
