Dental Board of California
Licensing details for: 62427
Name: TELLISSI, OUALID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
72695 HIGHWAY 11 STE A-8
PALM DESERT CA 92260
RIVERSIDE county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: TELLISSI, OUALID
License/Registration Type: Conscious Sedation Permit
License Number: 1276 Primary Status: Cancelled
Address :
72695 Highway 111 Suite A8
PALM DESERT CA 92260
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TELLISSI FAMILY DENTISTRY, DENTAL OFFICE OF O. TELLISSI DMD INC.
License/Registration Type: Fictitious Name Permit
License Number: 12015 Primary Status: Current - Active
Address :
72695 HIGHWAY 111, SUITE A-8
PALM DESERT CA 92260
RIVERSIDE 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: TELLISSI FAMILY DENTISTRY, DENTAL OFFICE OF O. TELLISSI DMD INC.
License/Registration Type: Fictitious Name Permit
License Number: 12015 Primary Status: Current - Active
Address :
72695 HIGHWAY 111, SUITE A-8
PALM DESERT CA 92260
RIVERSIDE COUNTY
MS 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: Moderate Sedation Permit
Name: TELLISSI, OUALID
License/Registration Type: Moderate Sedation Permit
License Number: 579 Primary Status: Current - Active
Address :
72695 Highway 111
Suite A-8
PALM DESERT CA 92260-3320
