Dental Board of California
Licensing details for: 59276
Name: SIBHATU, MUSSIE TEKLE
License Type: Dentist
Primary Status: Current - Active
Address of Record
3630 MacArthur Blvd
OAKLAND CA 94619-1328
ALAMEDA 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: MUSSIE SIBHATU, DDS A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81098 Primary Status: Current - Active
Address :
3147 TELEGRAPH AVE
OAKLAND CA 94609
ALAMEDA 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: MUSSIE SIBHATU DDS, A DENTAL CORPORATION, DBA OAKLAND SMILE DENTISTRY
License/Registration Type: Additional Office Permit
License Number: 81495 Primary Status: Expired
Address :
3626 MACARTHUR BLVD
OAKLAND CA 94619
ALAMEDA 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: SIBHATU, MUSSIE TEKLE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3808 Primary Status: Current - Active
Address :
3630 MACARTHUR BLVD
OAKLAND CA 94619
ALAMEDA COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: KEITH-REYES, ESTHER LYNN
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 624 Primary Status: Current - Active
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Yohannes, Finan Mebrahtu
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 946 Primary Status: Current - Active
Address Not Disclosed
