Dental Board of California
Licensing details for: 9251
Name: CANYON DENTAL GROUP, COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPOR
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CANYON DENTAL GROUP, COHEN, MANAVI & PAKRAVAN DENTAL CORPORATION
License Relationships
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: MANAVI, FARHAD
License/Registration Type: Dentist License
License Number: 38558 Primary Status: Current - Active
Address :
4149 TWEEDY BLVD STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY
