Dental Board of California
Licensing details for: 14444
Name: LAVENDER DENTISTRY DENTAL GROUP OF HEMMAT, D.D.S. INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HEMMAT, OMID
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: HEMMAT, OMID
License/Registration Type: Dentist License
License Number: 63539 Primary Status: Current - Active
Address :
2001 E 4th St
Unit #102
SANTA ANA CA 92705-3916
ORANGE COUNTY
