Dental Board of California
Licensing details for: 64017
Name: HAIDER, MOHAMMAD SHIRAZ
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
20672 Lake Forest Dr Ste C
LAKE FOREST CA 92630-7700
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: SMILE WORKS, A DENTAL GROUP OF FARUKHI P.C.
License/Registration Type: Additional Office Permit
License Number: 80666 Primary Status: Current - Active
Address :
15018 LA MIRADA BLVD
LA MIRADA CA 90638
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTAL WORKS PRACTICE OF "SMILE WORKS, A DENTAL GROUP OF FARUKHI P.C."
License/Registration Type: Fictitious Name Permit
License Number: 15661 Primary Status: Expired
Address :
15018 LA MIRADA BLVD
LA MIRADA CA 90638
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WORKS, A DENTAL GROUP OF FARUKHI, P.C.
License/Registration Type: Fictitious Name Permit
License Number: 12324 Primary Status: Current - Active
Address :
15018 La Mirada Blvd
LA MIRADA CA 90638-4743
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: FAMILY DENTAL WORKS PRACTICE OF "SMILE WORKS, A DENTAL GROUP OF FARUKHI P.C."
License/Registration Type: Fictitious Name Permit
License Number: 15661 Primary Status: Expired
Address :
15018 LA MIRADA BLVD
LA MIRADA CA 90638
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: SMILE WORKS, A DENTAL GROUP OF FARUKHI, P.C.
License/Registration Type: Fictitious Name Permit
License Number: 12324 Primary Status: Current - Active
Address :
15018 La Mirada Blvd
LA MIRADA CA 90638-4743
LOS ANGELES COUNTY
