Dental Board of California
Licensing details for: 103424
Name: WARRIACH, FAHAD IKRAM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
10821 Parkland St
LOMA LINDA CA 92354-2107
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HORIZON IMPLANTS, CENTER DENTAL OFFICE OF FAHAD WARRIACH, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 18495 Primary Status: Current - Active
Address :
1000 NEWBURY RD 138
THOUSAND OAKS CA 91320-6435
VENTURA 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: HORIZON IMPLANTS, CENTER DENTAL OFFICE OF FAHAD WARRIACH, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 18495 Primary Status: Current - Active
Address :
1000 NEWBURY RD 138
THOUSAND OAKS CA 91320-6435
VENTURA COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: WARRIACH, FAHAD IKRAM
License/Registration Type: Moderate Sedation Permit
License Number: 272 Primary Status: Current - Active
Address :
1000 Newbury Rd
STE 138
THOUSAND OAKS CA 91320-6435
VENTURA COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: TRUONG, TAM SY
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 797 Primary Status: Current - Active
Address Not Disclosed
