
Dental Board of California
Licensing details for: 739
Name: EL FARRA, MOHAMMAD YAZEED
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: EL FARRA, MOHAMMAD
Address of Record
1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN county
Map
License Relationships
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: EL FARRA, MOHAMMAD YAZEED
License/Registration Type: Dentist License
License Number: 51062 Primary Status: Current - Active
Address :
1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN COUNTY