Dental Board of California
Licensing details for: 12015
Name: TELLISSI FAMILY DENTISTRY, DENTAL OFFICE OF O. TELLISSI DMD INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: TELLISSI FAMILY DENTISTRY
Address of Record
72695 HIGHWAY 111, SUITE A-8
PALM DESERT CA 92260
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TELLISSI, OUALID
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: TELLISSI, OUALID
License/Registration Type: Dentist License
License Number: 62427 Primary Status: Current - Active
Address :
72695 HIGHWAY 11 STE A-8
PALM DESERT CA 92260
RIVERSIDE COUNTY
