Dental Board of California
Licensing details for: 2190
Name: ZAKI, IRENE THABET
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
6211 Valley Springs Pkwy
Suite H
RIVERSIDE CA 92507
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAPPY TEETH CHILDREN'S DENTISTRY, DENTAL PRACTICE OF IRENE ZAKI D
License/Registration Type: Fictitious Name Permit
License Number: 11896 Primary Status: Current - Active
Address :
6211 VALLEY SPRINGS PKWY
SUITE H
RIVERSIDE CA 92507
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ZAKI, IRENE THABET
License/Registration Type: Dentist License
License Number: 56592 Primary Status: Current - Active
Address :
6211 VALLEY SPRINGS PKWY
SUITE H
RIVERSIDE CA 92507
RIVERSIDE COUNTY
