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: REZA HAKINPOUR, DDS
License/Registration Type: Additional Office Permit
License Number: 6192 Primary Status: Cancelled
Address :
2664 BERRYESSA ROAD
SUITE 204
SAN JOSE CA 95132
SANTA CLARA 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: HAKIMPOUR, REZA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3137 Primary Status: Current - Active
Address :
6489 CAMDEN AVE #105
SAN JOSE CA 95120
SANTA CLARA COUNTY
