Dental Board of California
Licensing details for: 54287
Name: ABRAHAM, HENRY
License Type: Dentist
Primary Status: Current - Active
Previous Names: IBRAHIM, HANY FAWZY MOAWAD
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: HENRY ABRAHAM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 81172 Primary Status: Current - Active
Address :
30145 Antelope Rd Ste #105
MENIFEE CA 92584-8065
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: HENRY ABRAHAM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 80308 Primary Status: Current - Active
Address :
29049 OVERLAND DR. STE C
TEMECULA CA 92591
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: HENRY ABRAHAM, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 80807 Primary Status: Current - Active
Address :
2712 CANYON SPRINGS PKY ST. A3
RIVERSIDE CA 92507
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: ANTHEM DENTAL, DENTAL OFFICE OF HENRY ABRAHAM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16450 Primary Status: Current - Active
Address :
2712 CANYON SPRINGS PARKWAY ST. #3
RIVERSIDE CA 92507
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: ANTHEM DENTAL, DENTAL OFFICE OF HENRY ABRAHAM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11761 Primary Status: Current - Active
Address :
29049 OVERLAND DRIVE
SUITE C
TEMECULA CA 92591
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: ANTHEM DENTAL, DENTAL OFFICE OF HENRY ABRAHAM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 17041 Primary Status: Current - Active
Address :
30145 Antelope Rd Ste 105
MENIFEE CA 92584-8065
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: ALPHA DENTAL , DENTAL OFFICE OF H. IBRAHIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14535 Primary Status: Cancelled
Address :
32065 TEMECULA PARKWAY, STE C
TEMECULA CA 92592
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: ANTHEM DENTAL, DENTAL OFFICE OF H. IBRAHIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 9527 Primary Status: Cancelled
Address :
32065 TEMECULA PARKWAY, STE. C
TEMECULA CA 92592
RIVERSIDE COUNTY
