Dental Board of California
Licensing details for: 105699
Name: RESHAD, MOHAMMAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
1617 S Beverly Glen Blvd
208
LOS ANGELES CA 90024-1712
LOS ANGELES county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: RESHAD, MOHAMMAD
License/Registration Type: Conscious Sedation Permit
License Number: 1330 Primary Status: Cancelled
Address :
1617 S Beverly Glen Blvd
Apt 208
LOS ANGELES CA 90024-1712
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RESHAD DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 19306 Primary Status: Current - Active
Address :
27871 MEDICAL CENTER RD. SUITE: 260
MISSION VIEJO CA 92691
ORANGE 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: RESHAD DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 19306 Primary Status: Current - Active
Address :
27871 MEDICAL CENTER RD. SUITE: 260
MISSION VIEJO CA 92691
ORANGE 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: RESHAD, MOHAMMAD
License/Registration Type: Moderate Sedation Permit
License Number: 400 Primary Status: Current - Active
Address :
1049 N. DENMARE ST.
VISALIA CA 93291
TULARE 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: RESHAD, MOHAMMAD
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4443 Primary Status: Current - Active
Address :
1617 S Beverly Glen Blvd
208
LOS ANGELES CA 90024-1712
