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Licensing details for: 104197

Name: TAHA, SAHAR

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Completed LBC Clinical Contract

Address of Record

6660 Lone Tree Way
BRENTWOOD CA 94513-5370
CONTRA COSTA county
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Contract Location

1200 WEST MAIN STREET
TURLOCK CA 95380
STANISLAUS county
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Issuance Date

July 31, 2019

Expiration Date

December 31, 2027

Current Date / Time

April 3, 2026
4:57:04 AM

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: SAHAR TAHA, DDS

License/Registration Type: Additional Office Permit

License Number: 82548 Primary Status: Current - Active

Address :
5142 Stevens Creek Blvd
SAN JOSE CA 95129

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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: West San Jose Modern Dentistry, Dental Group of West San Jose Modern Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20175 Primary Status: Current - Active

Address :
5142 Stevens Creek Blvd
SAN JOSE CA 95129

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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: BRENTWOOD SMILES DENTISTRY DENTAL GROUP, MOKBIL AND TAHA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19175 Primary Status: Expired

Address :
6660 LONE TREE WAY, SUITE 7
BRENTWOOD CA 94513
CONTRA COSTA COUNTY

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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: Brentwood Smiles Dentistry, Dental Group of Brentwood Smiles Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20271 Primary Status: Current - Active

Address :
6660 Lone Tree Way, Ste 7
BRENTWOOD CA 94513

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