Dental Board of California
Licensing details for: 60131
Name: KEYHANI, JALEH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
License Relationships
GA 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: General Anesthesia Permit
Name: KEYHANI, JALEH
License/Registration Type: General Anesthesia Permit
License Number: 1881 Primary Status: Current - Active
Address :
1590 Webster St
FAIRFIELD CA 94533-4992
SOLANO COUNTY
GA 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: General Anesthesia Permit
Name: KEYHANI, JALEH
License/Registration Type: General Anesthesia Permit
License Number: 1557 Primary Status: Cancelled
Address :
PO BOX 907
HILLARD OH 43026
FRANKLIN COUNTY
