Dental Board of California
Licensing details for: 60197
Name: AWAD, PAUL YOUSSEF
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Method of Application: Licensure by Residency
Address of Record
2071 RANCHO VALLEY DR. STE 140
POMONA CA 91766
LOS ANGELES 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: PAUL AWAD, DDS
License/Registration Type: Additional Office Permit
License Number: 82697 Primary Status: Current - Active
Address :
6348 Mission Blvd., Unit 105
JURUPA VALLEY CA 92509
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: AWAD AND MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11936 Primary Status: Cancelled
Address :
2071 RANCHO VALLEY DRIVE
SUITE 140
POMONA CA 91766
LOS ANGELES 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: AWAD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81456 Primary Status: Current - Active
Address :
2071 RANCHO VALLEY DRIVE., SUITE 140
POMONA CA 91766
LOS ANGELES COUNTY
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: Jurupa Valley Dental Group, Jurupa Valley Dental Group, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20473 Primary Status: Current - Active
Address :
6348 Mission Blvd., Unit 105
JURUPA VALLEY CA 92509
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: Apple Valley Smiles Dentistry, Dental Group of Apple Valley Smiles Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20177 Primary Status: Current - Active
Address :
12218 Apple Valley Rd Bldg 1, Ste. 110
APPLE VALLEY CA 92308
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: POMONA DENTISTRY DENTAL GROUP, AWAD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17688 Primary Status: Current - Active
Address :
2071 RANCHO VALLEY DRIVE., SUITE 140
POMONA CA 91766
LOS ANGELES COUNTY
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: POMONA DENTISTRY DENTAL GROUP AWAD AND MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12276 Primary Status: Cancelled
Address :
2071 RANCHO VALLEY DRIVE,
SUITE 140
POMONA CA 91766
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: LEETCH, SHAWN CHRISTIAN
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 531 Primary Status: Cancelled
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Eng, Anna Rebekah
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 895 Primary Status: Current - Active
Address Not Disclosed
