Dental Board of California
Licensing details for: 46787
Name: ELGENDI, HAITHAM HAMZA
License Type: Dentist
Primary Status: Current - Active
Address not disclosed
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: ELGENDI DDS CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81350 Primary Status: Expired
Address :
1161 HIDDEN VALLEY PKWY #106
NORCO CA 92860
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: ELGENDI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81114 Primary Status: Expired
Address :
402 S LONG BEACH BLVD
COMPTON CA 90221
LOS ANGELES 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: HAITHAM ELGENDI DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 8938 Primary Status: Cancelled
Address :
2585 W. FLORIDA AVE.
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HACIENDA FAMILY DENTAL PRACTICE OF ELGENDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16815 Primary Status: Expired
Address :
818 N HACIENDA BLVD SUITE J
LA PUENTE CA 91744
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR EL GENDI 8TH AND ALVARADO FAMILY
License/Registration Type: Fictitious Name Permit
License Number: 3154 Primary Status: Cancelled
Address :
824 S ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORCO HILLS ADVANCED DENTISTRY DENTAL PRACTICE OF ELGENDI DDS CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17721 Primary Status: Expired
Address :
1161 HIDDEN VALLEY PKWY STE 106
NORCO CA 92860
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIRBY AND FLORIDA DENTAL GROUP, HAITHAM ELGENDI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 5393 Primary Status: Cancelled
Address :
2585 W FLORIDA AVE
HEMET CA 92545
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: DR EL GENDI 8TH AND ALVARADO FAMILY
License/Registration Type: Fictitious Name Permit
License Number: 3154 Primary Status: Cancelled
Address :
824 S ALVARADO STREET
LOS ANGELES CA 90057
LOS ANGELES 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: NORCO HILLS ADVANCED DENTISTRY DENTAL PRACTICE OF ELGENDI DDS CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17721 Primary Status: Expired
Address :
1161 HIDDEN VALLEY PKWY STE 106
NORCO CA 92860
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: KIRBY AND FLORIDA DENTAL GROUP, HAITHAM ELGENDI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 5393 Primary Status: Cancelled
Address :
2585 W FLORIDA AVE
HEMET CA 92545
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: HACIENDA FAMILY DENTAL PRACTICE OF ELGENDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16815 Primary Status: Expired
Address :
818 N HACIENDA BLVD SUITE J
LA PUENTE CA 91744
LOS ANGELES COUNTY
