Dental Board of California
Licensing details for: 107156
Name: GHAZAL, ASHLYN CATE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
License Relationships
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: Menifee Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20158 Primary Status: Current - Active
Address :
29950 Haun Road, Suite 302
MENIFEE CA 92586
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: FIDELLO, PIA MARIA GALLOS
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1117 Primary Status: Current - Active
Address Not Disclosed
