Dental Board of California
Licensing details for: 6901
Name: SIMI VALLEY DENTAL GROUP AND ORTHODONTICS, GOGILTAN WAXLER AND SE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SIMI VALLEY DENTAL GROUP, KATAYOUN SETAREH SHENAS, DDS, INC.
Address of Record
2410 SYCAMORE DR.
STE. A
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 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
