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: ELY HASSANY, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11093 Primary Status: Cancelled
Address :
217 W LOS ANGELES AVENUE
MOORPARK CA 93021
VENTURA COUNTY
