Dental Board of California
Licensing details for: 54611
Name: KHAN, SHEHZAD AHMAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
18 Rancho Camino Dr
STE. 104
POMONA CA 91766-7003
LOS ANGELES county
Map
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: AHMAD KHAN DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 80366 Primary Status: Expired
Address :
1530 W. 6TH ST., 101-A
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KOOL KIDZ DENTIST AND ORTHODONTICS, DENTAL PRACTICE OF KHAN ALI D
License/Registration Type: Fictitious Name Permit
License Number: 11243 Primary Status: Current - Active
Address :
18 RANCHO CAMINO DRIVE
SUITE 104
POMONA CA 91766
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUPER SMILE ORTHODONTICS, DENTAL PRACTICE OF AHMAD KHAN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 13701 Primary Status: Current - Active
Address :
1530 W 6TH ST STE 101-A
CORONA CA 92882
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: SUPER SMILE ORTHODONTICS, DENTAL PRACTICE OF AHMAD KHAN DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 13701 Primary Status: Current - Active
Address :
1530 W 6TH ST STE 101-A
CORONA CA 92882
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: KOOL KIDZ DENTIST AND ORTHODONTICS, DENTAL PRACTICE OF KHAN ALI D
License/Registration Type: Fictitious Name Permit
License Number: 11243 Primary Status: Current - Active
Address :
18 RANCHO CAMINO DRIVE
SUITE 104
POMONA CA 91766
LOS ANGELES COUNTY
