Dental Board of California
Licensing details for: 12915
Name: LIVE OAK FAMILY DENTAL GROUP OF MAHMOOD DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Previous Names: LIVE OAK FAMILY DENTAL GROUP
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAHMOOD, MOHSIN RAZA
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: MAHMOOD, MOHSIN RAZA
License/Registration Type: Dentist License
License Number: 52424 Primary Status: Current - Active
Address :
1736 E 14th St
1736 E 14th Street
SAN LEANDRO CA 94577-4803
ALAMEDA COUNTY
