
Dental Board of California
Licensing details for: 9348
Name: AFFORDABLE DENTAL OFFICE, DR. PAYAM BARZIVAND, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: AFFORDABLE DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BARZIVAND, PAYAM
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: BARZIVAND, PAYAM
License/Registration Type: Dentist License
License Number: 54590 Primary Status: Current - Active
Address :
6251 Van Nuys Blvd.
VAN NUYS CA 91401
LOS ANGELES COUNTY