Dental Board of California
Licensing details for: 45080
Name: AHMAD, MUHAMMAD FAROOQ
License Type: Dentist
Primary Status: Current - Active
Previous Names: AHMAD, MUHAMMAD FAROOD
Address of Record
1245 E VISTA WAY
VISTA CA 92084
SAN DIEGO county
Map
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: M FAROOD AHMAD, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7745 Primary Status: Cancelled
Address :
33175 HWY 79, STE C
TEMECULA CA 92592
RIVERSIDE COUNTY
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: AHMAD KHAN DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 80366 Primary Status: Expired
Address :
1530 W. 6TH ST., 101-A
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TEMECULA VALLEY FAMILY DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 3856 Primary Status: Cancelled
Address :
43057 MARGARITA #C101
TEMECULA CA 92592
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VAIL RANCH FAMILY DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 3855 Primary Status: Cancelled
Address :
33175 HWY 79, #C
TEMECULA CA 92592
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUPER SMILE ORTHODONTICS, DENTAL PRACTICE OF AHMAD KHAN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 13701 Primary Status: Current - Active
Address :
1530 W 6TH ST STE 101-A
CORONA CA 92882
RIVERSIDE 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: SUPER SMILE ORTHODONTICS, DENTAL PRACTICE OF AHMAD KHAN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 13701 Primary Status: Current - Active
Address :
1530 W 6TH ST STE 101-A
CORONA CA 92882
RIVERSIDE 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: VAIL RANCH FAMILY DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 3855 Primary Status: Cancelled
Address :
33175 HWY 79, #C
TEMECULA CA 92592
RIVERSIDE 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: TEMECULA VALLEY FAMILY DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 3856 Primary Status: Cancelled
Address :
43057 MARGARITA #C101
TEMECULA CA 92592
RIVERSIDE COUNTY
