Dental Board of California
Licensing details for: 64776
Name: BOZORGMANESH, HAMED
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
38 Promontory Park
ALISO VIEJO CA 92656-3380
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14480 Primary Status: Cancelled
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
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: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14480 Primary Status: Cancelled
Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: BOZORGMANESH, HAMED
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3474 Primary Status: Cancelled
Address :
99 TALISMAN #936
IRVINE CA 92620
ORANGE COUNTY
