Dental Board of California
Licensing details for: 46011
Name: IBRAHIM, HAYTHAM SABRI
License Type: Dentist
Primary Status: Cancelled
Previous Names: ABO EL ENEN, HAITHAM SABRY
Address of Record
3400 RIVERSPRAY CRESCENT
# 1708
MISSISSAUGA, ON 99 L4Y 3M5
Canada
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AMANA DENTAL GROUP, ELSEMARY DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 3501 Primary Status: Cancelled
Address :
7275 EAST SOUTHGATE DR
SACRAMENTO CA 95823
SACRAMENTO 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: AMANA DENTAL GROUP, ELSEMARY DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 3501 Primary Status: Cancelled
Address :
7275 EAST SOUTHGATE DR
SACRAMENTO CA 95823
SACRAMENTO COUNTY
