Dental Board of California
Licensing details for: 63539
Name: HEMMAT, OMID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2001 E 4th St
Unit #102
SANTA ANA CA 92705-3916
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAVENDER DENTISTRY DENTAL GROUP OF HEMMAT, D.D.S. INC
License/Registration Type: Fictitious Name Permit
License Number: 14444 Primary Status: Current - Active
Address :
2001 E. 4TH STREET, STE 102
SANTA ANA CA 92705
ORANGE 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: LAVENDER DENTISTRY DENTAL GROUP OF HEMMAT, D.D.S. INC
License/Registration Type: Fictitious Name Permit
License Number: 14444 Primary Status: Current - Active
Address :
2001 E. 4TH STREET, STE 102
SANTA ANA CA 92705
ORANGE COUNTY
