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Licensing details for: 59237

Name: EISSA, KHALED

License Type: Dentist

Primary Status: Current - Active

Previous Names: EISSA, KHALED MOHAMED

Address of Record

38157 Hampton Ct
MURRIETA CA 92563-0303
RIVERSIDE county
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Issuance Date

April 19, 2010

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
10:46:56 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DELMAR DENTAL GROUP, OFFICE OF DR. KHALED EISSA & DR. HASSAN DAOUD

License/Registration Type: Fictitious Name Permit

License Number: 13685 Primary Status: Cancelled

Address :
1010 E VISTA WAY
VISTA CA 92084
SAN DIEGO COUNTY

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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: DELMAR DENTAL GROUP, OFFICE OF DR. KHALED EISSA & DR. HASSAN DAOUD

License/Registration Type: Fictitious Name Permit

License Number: 13685 Primary Status: Cancelled

Address :
1010 E VISTA WAY
VISTA CA 92084
SAN DIEGO COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Moderate Sedation Permit

Name: EISSA, KHALED

License/Registration Type: Moderate Sedation Permit

License Number: 402 Primary Status: Current - Active

Address :
24865 HOSPITALITY PLACE STE F
MURRIETA CA 92562
RIVERSIDE COUNTY

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