Dental Board of California
Licensing details for: 11243
Name: KOOL KIDZ DENTIST AND ORTHODONTICS, DENTAL PRACTICE OF KHAN ALI D
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: KOOL KIDZ DENTIST AND ORTHODONTICS PRACTICE OF KHAN ALI DENTAL CORPORATION
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHAN, SHEHZAD AHMAD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALI, HINA SULTANA
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: KHAN, SHEHZAD AHMAD
License/Registration Type: Dentist License
License Number: 54611 Primary Status: Current - Active
Address :
18 Rancho Camino Dr
STE. 104
POMONA CA 91766-7003
LOS ANGELES COUNTY
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: ALI, HINA SULTANA
License/Registration Type: Dentist License
License Number: 60203 Primary Status: Current - Active
Address :
18 Rancho Camino Dr
#104
POMONA CA 91766-7003
LOS ANGELES COUNTY
