License Directory

Trusted Dental and Orthodontics Dental Practice

Active

California license 21064

License

Licensed by
Dental Board of California
License number
21064
Status
Active (Current)
First issued
September 30, 2026
Expires
September 30, 2028
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Nourian Nathan (105373)
Related
Ghadoushi Tyler (111773)

Other California licenses under this name

Contact

1565 S Western Ave
Los Angeles, CA 90006-4233
Los Angeles County