Dental Board of California
Licensing details for: 61749
Name: QURBAN, SHAFAQ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: QURBAN, SHAFA'Q
Address of Record
34 Castletree
RANCHO STA MARG CA 92688-5560
ORANGE 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: QURBAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79844 Primary Status: Current - Active
Address :
15850 SOQUEL CANYON PKWY, STE A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE ON SOQUEL CANYON QURBAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14470 Primary Status: Current - Active
Address :
15850 SOQUEL CANYON PKWY, STE A
CHINO HILLS CA 91709
SAN BERNARDINO 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: THE DENTAL OFFICE ON SOQUEL CANYON QURBAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14470 Primary Status: Current - Active
Address :
15850 SOQUEL CANYON PKWY, STE A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
