Dental Board of California
Licensing details for: 55303
Name: SAFAR, OSSAMA MURAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
7669 Belle Rose Cir
ROSEVILLE CA 95678-6049
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOREVER SMILES PEDIATRIC DENTISTRY & ORTHODONTICS, DENTAL GROUP O
License/Registration Type: Fictitious Name Permit
License Number: 7630 Primary Status: Cancelled
Address :
641 W. ROUTE 66
STE. E
GLENDORA CA 91740
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: FOREVER SMILES PEDIATRIC DENTISTRY & ORTHODONTICS, DENTAL GROUP O
License/Registration Type: Fictitious Name Permit
License Number: 7630 Primary Status: Cancelled
Address :
641 W. ROUTE 66
STE. E
GLENDORA CA 91740
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: SAFAR, OSSAMA MURAD
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1174 Primary Status: Cancelled
Address :
7669 Belle Rose Cir
ROSEVILLE CA 95678-6049
PLACER COUNTY
