Dental Board of California
Licensing details for: 64702
Name: FAREID, BEVAN SHOGHI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4129 S Mooney Blvd #B
VISALIA CA 93277
TULARE 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: FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81417 Primary Status: Current - Active
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS COUNTY
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: BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81194 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
VISALIA CA 93277
TULARE COUNTY
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: ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80956 Primary Status: Cancelled
Address :
2682 NAGLEE RD STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79273 Primary Status: Current - Active
Address :
4129 S MOONEY BLVD SUITE B
VISALIA CA 93277
TULARE COUNTY
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: C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79671 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
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: SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81455 Primary Status: Current - Active
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: GHAZAL, FAREID AND SOOD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81163 Primary Status: Current - Active
Address :
1008 W. SHAW AVENUE, SUITE 105
FRESNO CA 93711
FRESNO COUNTY
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: GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79670 Primary Status: Expired
Address :
1008 W. SHAW AVE, STE 105
FRESNO CA 93711
FRESNO COUNTY
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: FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79693 Primary Status: Cancelled
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79821 Primary Status: Expired
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF VISALIA DENTAL GROUP, BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17115 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14498 Primary Status: Cancelled
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHAMPLAIN DENTISTRY DENTAL GROUP, SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17689 Primary Status: Current - Active
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14545 Primary Status: Cancelled
Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PACKWOOD CREEK DENTAL GROUP FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13406 Primary Status: Current - Active
Address :
4129 S MOONEY BLVD STE B
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14546 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14523 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF HANFORD DENTAL GROUP, FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17741 Primary Status: Current - Active
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS 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: DENTISTS OF VISALIA DENTAL GROUP, BEVAN S. FAREID, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17115 Primary Status: Current - Active
Address :
827 AKERS STREET., SUITE 104
VISALIA CA 93277
TULARE 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: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14498 Primary Status: Cancelled
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN 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: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14546 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO 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: DENTISTS OF HANFORD DENTAL GROUP, FAREID AND MOKBIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17741 Primary Status: Current - Active
Address :
150 N. 12TH AVENUE, SUITE 109
HANFORD CA 93230
KINGS 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: CHAMPLAIN DENTISTRY DENTAL GROUP, SOOD AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17689 Primary Status: Current - Active
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO 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: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14545 Primary Status: Cancelled
Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
FRESNO 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: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14523 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO 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: PACKWOOD CREEK DENTAL GROUP FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13406 Primary Status: Current - Active
Address :
4129 S MOONEY BLVD STE B
VISALIA CA 93277
TULARE COUNTY
