Dental Board of California
Licensing details for: 7675
Name: FRESH SMILE DENTAL CENTER, DENTAL OFFICE OF KAMIAR H. DEHKORDI, D
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: FRESH SMILE DENTAL CENTER
Address of Record
8215 SANLAND BOULEVARD
SUN VALLEY CA 91352
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DEHKORDI, KAMIAR H
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: DEHKORDI, KAMIAR H
License/Registration Type: Dentist License
License Number: 53782 Primary Status: Current - Active
Address :
1338 Santa Rosa St
1338 santa rosa st
SAN LUIS OBISPO CA 93401-3780
SAN JOAQUIN COUNTY
