Dental Board of California
Licensing details for: 6976
Name: BALBOA DENTAL GROUP, ARASH ELIE DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: BALBOA DENTAL GROUP
Address of Record
11850 1/2 BALBOA BLVD.
GRANADA HILLS CA 91344
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELIE, ARASH
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: ELIE, ARASH
License/Registration Type: Dentist License
License Number: 47470 Primary Status: Current - Active
Address :
15740 GREENLEAF STREET
ENCINO CA 91436
LOS ANGELES COUNTY
