Dental Board of California
Licensing details for: 102595
Name: BAYDOUN, ALIA HAMDAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BAYDOUN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81272 Primary Status: Current - Active
Address :
8997 MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MIRA MESA SMILES DENTISTRY DENTAL GROUP, BAYDOUN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17256 Primary Status: Current - Active
Address :
8997 MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MIRA MESA SMILES DENTISTRY DENTAL GROUP, BAYDOUN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17256 Primary Status: Current - Active
Address :
8997 MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO COUNTY
