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Licensing details for: 59297

Name: DAOUD, HASAN A

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: DAOUD, HASAN ABDEL HAMEID DAOUD, HASAN

Address of Record

11968 Bernardo Plaza Dr
SAN DIEGO CA 92128-2538
SAN DIEGO county
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Issuance Date

May 17, 2010

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
10:58:49 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 Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GREAT SMILE DENTAL, OFFICE OF HASAN DAOUD DDS

License/Registration Type: Fictitious Name Permit

License Number: 12240 Primary Status: Cancelled

Address :
5210 BALBOA AVENUE, SUITE A2
SAN DIEGO CA 92117
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

Map

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: GREAT SMILE DENTAL, OFFICE OF HASAN DAOUD DDS

License/Registration Type: Fictitious Name Permit

License Number: 12240 Primary Status: Cancelled

Address :
5210 BALBOA AVENUE, SUITE A2
SAN DIEGO CA 92117
SAN DIEGO COUNTY

Map

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