Dental Board of California
Licensing details for: 43510
Name: YACOUB, KHALID MARKOUS
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Reduced Renewal Fee
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: BRIGHT SMILE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2308 Primary Status: Cancelled
Address :
OFFICE OF ASHAK & YACOUB, DDS,INC.
1183 EAST MAIN STREET, SUITE G
EL CAJON CA 92021
SAN DIEGO 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: WASHINGTON DENTISTRY, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4223 Primary Status: Current - Active
Address :
1008 WASHINGTON AVE
EL CAJON CA 92020
SAN DIEGO COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: STEPHAN, WALEED ASHAK
License/Registration Type: Dentist License
License Number: 43892 Primary Status: Current - Active
Address :
860 Jamacha rd # 201
860 Jamacha rd # 201
EL CAJON CA 92019
SAN DIEGO COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: STEPHAN, WALEED ASHAK
License/Registration Type: Dentist License
License Number: 43892 Primary Status: Current - Active
Address :
860 Jamacha rd # 201
860 Jamacha rd # 201
EL CAJON CA 92019
SAN DIEGO COUNTY
