Dental Board of California
Licensing details for: 50287
Name: KHAYAL, SAMIR JAMAL
License Type: Dentist
Primary Status: Current - Active
Address of Record
3173 TWEEDY BLVD
SOUTH GATE CA 90280
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTISTRY DENTAL OFFICE OF DR. SAMIR KHAYAL DDS
License/Registration Type: Fictitious Name Permit
License Number: 12217 Primary Status: Cancelled
Address :
5841 FIRESTONE BVLD, SUITE C
SOUTH GATE CA 90280
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: FAMILY DENTISTRY DENTAL OFFICE OF DR. SAMIR KHAYAL DDS
License/Registration Type: Fictitious Name Permit
License Number: 12217 Primary Status: Cancelled
Address :
5841 FIRESTONE BVLD, SUITE C
SOUTH GATE CA 90280
LOS ANGELES COUNTY
