Dental Board of California
Licensing details for: 34091
Name: FAHMY, DIAA SAMIR
License Type: Dentist
Primary Status: Expired
Secondary Status: Reduced Renewal Fee
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR. D FAHMY, CORONA FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1257 Primary Status: Cancelled
Address :
1358 WEST 6TH STREET, SUITE 101
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CAPISTRANO DENTAL GROUP, DR'S. DIAA S. FAHMY AND KHALED K. SOLIMA
License/Registration Type: Fictitious Name Permit
License Number: 8914 Primary Status: Cancelled
Address :
31878 DEL OBISPO ST.
STE. 105
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CAPISTRANO DENTAL GROUP, DR. DIAA FAHMY
License/Registration Type: Fictitious Name Permit
License Number: 13965 Primary Status: Expired
Address :
32112 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO CA 92675
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: CAPISTRANO DENTAL GROUP, DR. DIAA FAHMY
License/Registration Type: Fictitious Name Permit
License Number: 13965 Primary Status: Expired
Address :
32112 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO CA 92675
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: CAPISTRANO DENTAL GROUP, DR'S. DIAA S. FAHMY AND KHALED K. SOLIMA
License/Registration Type: Fictitious Name Permit
License Number: 8914 Primary Status: Cancelled
Address :
31878 DEL OBISPO ST.
STE. 105
SAN JUAN CAPISTRANO CA 92675
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: DR. D FAHMY, CORONA FAMILY DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1257 Primary Status: Cancelled
Address :
1358 WEST 6TH STREET, SUITE 101
CORONA CA 92882
RIVERSIDE COUNTY
