License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIRBY AND FLORIDA DENTAL GROUP, IBRAHIM, HASHEM & SALEM DENTAL CO
License/Registration Type: Fictitious Name Permit
License Number: 11736 Primary Status: Current - Active
Address :
2585 W FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIRBY AND FLORIDA DENTAL GROUP, HAITHAM ELGENDI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 5393 Primary Status: Cancelled
Address :
2585 W FLORIDA AVE
HEMET CA 92545
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: IBRAHIM, ESSAM AHMED
License/Registration Type: Dentist License
License Number: 46830 Primary Status: Current - Active
Address :
5301 LOCHMOOR DR
RIVERSIDE CA 92507
RIVERSIDE COUNTY
