Dental Board of California
Licensing details for: 106248
Name: ALUBAIDI, MARYAM ABDULKAREEM JASSIM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
21001 San Ramon Valley Blvd
Ste C6
SAN RAMON CA 94583-3469
CONTRA COSTA county
Map
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: MARYAM ALUBAIDI, DDS
License/Registration Type: Additional Office Permit
License Number: 82946 Primary Status: Current - Active
Address :
2200 Oak Grove Road
WALNUT CREEK CA 94598
CONTRA COSTA COUNTY
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: Alubaidi Dental Corporation
License/Registration Type: Additional Office Permit
License Number: 81391 Primary Status: Cancelled
Address :
2380 MONUMENT BLVD., SUITE F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
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: MARYAM ALUBAIDI, DDS
License/Registration Type: Additional Office Permit
License Number: 82583 Primary Status: Current - Active
Address :
2380 Monument Blvd. Suite F
PLEASANT HILL CA 94523
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: MARYAM ALUBAIDI, DDS
License/Registration Type: Additional Office Permit
License Number: 83006 Primary Status: Current - Active
Address :
1150 Concord Avenue #180
CONCORD CA 94520-5641
CONTRA COSTA COUNTY
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: ALUBAIDI, MARYAM ABDULKAREEM JASSIM
License/Registration Type: Conscious Sedation Permit
License Number: 1316 Primary Status: Cancelled
Address :
6666 LONE TREE WAY, STE 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: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP ALUBAIDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17552 Primary Status: Expired
Address :
2380 Monument Blvd., Suite F
PLEASANT HILL CA 94523
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: Pleasant Hill Smiles Dentistry, Dental Group of Pleasant Hill Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20258 Primary Status: Current - Active
Address :
2380 Monument Blvd, Ste F
PLEASANT HILL, CA 94523
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: Concord Modern Dentistry, Dental Group of Concord Modern Dentistry, Prof. Corp.
License/Registration Type: Fictitious Name Permit
License Number: 20844 Primary Status: Current - Active
Address :
1150 Concord Avenue #180
CONCORD CA 94520
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: Walnut Creek Modern Dentistry, Dental Group of Walnut Creek Modern Dentistry, Prof. Corp.
License/Registration Type: Fictitious Name Permit
License Number: 20733 Primary Status: Current - Active
Address :
2200 Oak Grove Road
WALNUT CREEK CA 94598
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: Dentists of San Ramon, Dental Group of Dentists of San Ramon, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20326 Primary Status: Current - Active
Address :
21001 San Ramon Valley Blvd Ste C6
SAN RAMON CA 94583-3456
CONTRA COSTA COUNTY
