License Relationships
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: SMILE SHOP DENTAL OFFICE AHMAD
License/Registration Type: Fictitious Name Permit
License Number: 15271 Primary Status: Current - Active
Address :
4180 E. FLORIDA AVE
HEMET CA 92544
RIVERSIDE COUNTY
