
Dental Board of California
Licensing details for: 10764
Name: SOUTH GATE DENTAL CENTER, DENTAL OFFICE OF ADIL AL-HASHIMI DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: SOUTH GATE DENTAL CENTER
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AL-HASHIMI, ADIL HADI
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: AL-HASHIMI, ADIL HADI
License/Registration Type: Dentist License
License Number: 59837 Primary Status: Current - Active
Address Not Disclosed