Dental Board of California
Licensing details for: 9180
Name: CITY DENTAL GROUP, MICHAEL HOMAYUN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: CITY DENTAL GROUP
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HOMAYUN, MICHAEL
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: HOMAYUN, MICHAEL
License/Registration Type: Dentist License
License Number: 37838 Primary Status: Current - Active
Address :
18511 Sherman Way
RESEDA CA 91335-4213
LOS ANGELES COUNTY
