Dental Board of California
Licensing details for: 12217
Name: FAMILY DENTISTRY DENTAL OFFICE OF DR. SAMIR KHAYAL DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: FAMILY DENTISTRY DR. SAMIR KHAYAL DDS
Address of Record
5841 FIRESTONE BVLD, SUITE C
SOUTH GATE CA 90280
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHAYAL, SAMIR JAMAL
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: KHAYAL, SAMIR JAMAL
License/Registration Type: Dentist License
License Number: 50287 Primary Status: Current - Active
Address :
3173 TWEEDY BLVD
SOUTH GATE CA 90280
LOS ANGELES COUNTY
