Dental Board of California
Licensing details for: 63969
Name: SEDIQ, TAMIM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
22901 VANOWEN STREET, #2
WEST HILLS CA 91307
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: SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80218 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION HILLS MODERN DENTISTRY DENTAL GROUP SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15200 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
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: MISSION HILLS MODERN DENTISTRY DENTAL GROUP SEDIQ AND HANNA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15200 Primary Status: Cancelled
Address :
10306 SEPULVEDA BLVD
MISSION HILLS CA 91345
LOS ANGELES 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: SEDIQ, TAMIM
License/Registration Type: Moderate Sedation Permit
License Number: 169 Primary Status: Current - Active
Address :
6535 N PALM AVE #102
FRESNO CA 93704
FRESNO COUNTY
