Dental Board of California
Licensing details for: 10312
Name: LAKEWOOD FAMILY DENTAL GROUP, DR. SAMAAN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: LAKEWOOD FAMILY DENTAL GROUP
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SAMAAN, EHAB S
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: SAMAAN, EHAB S
License/Registration Type: Dentist License
License Number: 49798 Primary Status: Current - Active
Address :
2322 OLD HERITAGE RD
RIVERSIDE CA 92503
RIVERSIDE COUNTY
