Dental Board of California
Licensing details for: 61527
Name: SALEHPOUR, MAYSAM MAGID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: SALEHPOUR AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79185 Primary Status: Cancelled
Address :
1975 Garnet Ave
SUITE E
SAN DIEGO CA 92109-3594
SAN DIEGO 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: KIND DENTAL OF LA MESA DENTAL OFFICE OF DR. MAYSAM SALEHPOUR
License/Registration Type: Fictitious Name Permit
License Number: 17599 Primary Status: Expired
Address :
5153 JACKSON DRIVE
LA MESA CA 91942
SAN DIEGO 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: PB SMILES DENTISTRY DENTAL GROUP SALEHPOUR AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13148 Primary Status: Cancelled
Address :
1975 GARNET AVENUE, SUITE E
SAN DIEGO CA 92109
SAN DIEGO 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: SALEHPOUR, MAYSAM MAGID
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3844 Primary Status: Current - Active
Address :
5153 Jackson Dr
LA MESA CA 91942-9021
SAN DIEGO COUNTY
