Dental Board of California
Licensing details for: 103486
Name: MOHEIELDIN, NIVIN M
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
18011 Muriel Ln
SAN BERNARDINO CA 92407-1226
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT CHOICE DENTAL GROUP OF NIVIN MOHEIELDIN DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 18361 Primary Status: Current - Active
Address :
18215 BEAR VALLEY RD
HESPERIA CA 92345-4922
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: DESERT CHOICE DENTAL GROUP OF NIVIN MOHEIELDIN DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 18361 Primary Status: Current - Active
Address :
18215 BEAR VALLEY RD
HESPERIA CA 92345-4922
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MOHEIELDIN, NIVIN M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4217 Primary Status: Cancelled
Address :
18011 MURIEL LANE
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MOHEIELDIN, NIVIN M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4218 Primary Status: Expired
Address :
18011 MURIEL LANE
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
