 
                Dental Board of California
Licensing details for: 11936
Name: AWAD AND MOORE DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GHAZAL, CAROLYN G
License/Registration Type: Dentist License
License Number: 38682 Primary Status: Current - Active
Address : 
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MOORE, ANDREA CHRISTIANE
License/Registration Type: Dentist License
License Number: 48337 Primary Status: Expired
Address : 
1875 N Campus Ave
UPLAND CA 91784-8208
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: AWAD, PAUL YOUSSEF
License/Registration Type: Dentist License
License Number: 60197 Primary Status: Current - Active
Address : 
2071 RANCHO VALLEY DR. STE 140
POMONA CA 91766
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: WATANABE, BRYAN KAZUMI
License/Registration Type: Dentist License
License Number: 40130 Primary Status: Current - Active
Address : 
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE COUNTY



