
Dental Board of California
Licensing details for: 13685
Name: DELMAR DENTAL GROUP, OFFICE OF DR. KHALED EISSA & DR. HASSAN DAOUD
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAOUD, HASAN A
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EISSA, KHALED
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: EISSA, KHALED
License/Registration Type: Dentist License
License Number: 59237 Primary Status: Current - Active
Address :
38157 Hampton Ct
MURRIETA CA 92563-0303
RIVERSIDE COUNTY
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