Dental Board of California
Licensing details for: 104197
Name: TAHA, SAHAR
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Completed LBC Clinical Contract
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
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
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
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



