Dental Board of California
Licensing details for: 11736
Name: KIRBY AND FLORIDA DENTAL GROUP, IBRAHIM, HASHEM & SALEM DENTAL CO
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IBRAHIM, ESSAM AHMED
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: IBRAHIM, ESSAM AHMED
License/Registration Type: Dentist License
License Number: 46830 Primary Status: Current - Active
Address :
5301 LOCHMOOR DR
RIVERSIDE CA 92507
RIVERSIDE COUNTY
