Dental Board of California
Licensing details for: 15661
Name: FAMILY DENTAL WORKS PRACTICE OF "SMILE WORKS, A DENTAL GROUP OF FARUKHI P.C."
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAIDER, MOHAMMAD SHIRAZ
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FARUKHI, NAILA R
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: HAIDER, MOHAMMAD SHIRAZ
License/Registration Type: Dentist License
License Number: 64017 Primary Status: Current - Active
Address :
20672 Lake Forest Dr Ste C
LAKE FOREST CA 92630-7700
ORANGE 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: FARUKHI, NAILA R
License/Registration Type: Dentist License
License Number: 57840 Primary Status: Current - Active
Address :
20672 Lake Forest Dr
Suite #C
LAKE FOREST CA 92630-7700
ORANGE COUNTY
