Dental Board of California
Licensing details for: 1316
Name: ALUBAIDI, MARYAM ABDULKAREEM JASSIM
License Type: Conscious Sedation
Primary Status: Cancelled
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ALUBAIDI, MARYAM ABDULKAREEM JASSIM
License/Registration Type: Dentist License
License Number: 106248 Primary Status: Current - Active
Address :
21001 San Ramon Valley Blvd
Ste C6
SAN RAMON CA 94583-3469
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PLEASANT HILL SMILES DENTISTRY DENTAL GROUP ALUBAIDI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17552 Primary Status: Current - Active
Address :
2380 Monument Blvd., Suite F
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY
