Dental Board of California

Licensing details for: 48479

Name: KHASRU, MOHAMMED AMIR

License Type: Dentist

Primary Status: Current - Active

Address of Record

2160 ,SOUTH WATERMAN ave
Suite #A
SAN BERNARDINO CA 92408
SAN BERNARDINO county
Map

Practice Location

260 W Foothill Blvd
RIALTO CA 92376-5048
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887 W Ramsey St
BANNING CA 92220-4437
RIVERSIDE county
Map

Issuance Date

September 10, 2001

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
8:17:44 PM

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: S WATERMAN DENTISTRY, DENTAL OFFICE OF DR. MOHAMMED A. KHASRU

License/Registration Type: Fictitious Name Permit

License Number: 9117 Primary Status: Current - Active

Address :
2160 S WATERMAN AVENUE
STE. A
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: S WATERMAN DENTISTRY, DENTAL OFFICE OF DR. MOHAMMED A. KHASRU

License/Registration Type: Fictitious Name Permit

License Number: 9117 Primary Status: Current - Active

Address :
2160 S WATERMAN AVENUE
STE. A
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY