Dental Board of California
Licensing details for: 65326
Name: SAMI, HAITHAM ASHRAF
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: SAMI, HAITHAM A
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STOCKTON DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ MAHDI AND SAMI
License/Registration Type: Fictitious Name Permit
License Number: 17717 Primary Status: Expired
Address :
702 PORTER AVE., SUITE F
STOCKTON CA 95207
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ANTIOCH KIDS DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ SAMI AND MAHDI
License/Registration Type: Fictitious Name Permit
License Number: 19191 Primary Status: Current - Active
Address :
2642 SOMERSVILLE RD. SUITE B
ANTIOCH CA 94509
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MODESTO DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ MAHDI AND SAMI
License/Registration Type: Fictitious Name Permit
License Number: 18147 Primary Status: Expired
Address :
1801 H STREET., SUITE A7
MODESTO CA 95354
STANISLAUS 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: ANTIOCH KIDS DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ SAMI AND MAHDI
License/Registration Type: Fictitious Name Permit
License Number: 19191 Primary Status: Current - Active
Address :
2642 SOMERSVILLE RD. SUITE B
ANTIOCH CA 94509
CONTRA COSTA 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: STOCKTON DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ MAHDI AND SAMI
License/Registration Type: Fictitious Name Permit
License Number: 17717 Primary Status: Expired
Address :
702 PORTER AVE., SUITE F
STOCKTON CA 95207
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: MODESTO DENTAL STUDIO DENTAL GROUP OF ABDELAZIZ MAHDI AND SAMI
License/Registration Type: Fictitious Name Permit
License Number: 18147 Primary Status: Expired
Address :
1801 H STREET., SUITE A7
MODESTO CA 95354
STANISLAUS COUNTY
