Dental Board of California
Licensing details for: 15271
Name: SMILE SHOP DENTAL OFFICE AHMAD
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: AHMAD, MAHMOUD ABDALLAH
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: AHMAD, MAHMOUD ABDALLAH
License/Registration Type: Dentist License
License Number: 58187 Primary Status: Current - Active
Address :
4180 E Florida Ave
HEMET CA 92544-5079
RIVERSIDE COUNTY
