Dental Board of California
Licensing details for: 1257
Name: DR. D FAHMY, CORONA FAMILY DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1358 WEST 6TH STREET, SUITE 101
CORONA CA 92882
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FAHMY, DIAA SAMIR
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: FAHMY, DIAA SAMIR
License/Registration Type: Dentist License
License Number: 34091 Primary Status: Expired
Address :
12657 166th St
CERRITOS CA 90703-2101
LOS ANGELES COUNTY
