Dental Board of California
Licensing details for: 7124
Name: TEDDY BEAR CHILDREN'S DENTISTRY, DENTAL OFFICE, MAHVASH SHAYAN, D
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: TEDDY BEAR DENTAL
Address of Record
23101 SHERMAN PLACE
STE. 201
WEST HILLS CA 91307
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAYAN, MAHVASH
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: SHAYAN, MAHVASH
License/Registration Type: Dentist License
License Number: 46963 Primary Status: Expired
Address :
23101 SHERMAN PL #201
WEST HILLS CA 91307
LOS ANGELES COUNTY
