Dental Board of California
Licensing details for: 12240
Name: GREAT SMILE DENTAL, OFFICE OF HASAN DAOUD DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: GREAT SMILE DENTAL
Address of Record
5210 BALBOA AVENUE, SUITE A2
SAN DIEGO CA 92117
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAOUD, HASAN A
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: DAOUD, HASAN A
License/Registration Type: Dentist License
License Number: 59297 Primary Status: Current - Active
Address :
11968 Bernardo Plaza Dr
SAN DIEGO CA 92128-2538
SAN DIEGO COUNTY
