Dental Board of California
Licensing details for: 107197
Name: MOHSENZADEH, HANI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
41 Royal Gorge St
SANTA ROSA CA 95409-4281
SONOMA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ASSIGN FAMILY DENTAL GROUP DENTAL GROUP OF HANI MOHSENZADEH, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 18257 Primary Status: Current - Active
Address :
233 FARMERS LN
SANTA ROSA CA 95405-4721
SONOMA 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: ASSIGN FAMILY DENTAL GROUP DENTAL GROUP OF HANI MOHSENZADEH, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 18257 Primary Status: Current - Active
Address :
233 FARMERS LN
SANTA ROSA CA 95405-4721
SONOMA COUNTY
