Dental Board of California
Licensing details for: 11714
Name: GREAT EXPRESSION DENTAL, OFFICE OF LAMISE KASSEM D.D.S., INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: GREAT EXPRESSION DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KASSEM, LAMISE G
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: KASSEM, LAMISE G
License/Registration Type: Dentist License
License Number: 51269 Primary Status: Current - Active
Address :
23211 COFFEEBERRY CIRCLE
CORONA CA 92883
RIVERSIDE COUNTY
