Dental Board of California
Licensing details for: 17811
Name: VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT GROUP DRS. TABEL & NASIR:
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TABEL, MOHAMMED MALIK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NASSIRI, JUSTIN BIJAN
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: TABEL, MOHAMMED MALIK
License/Registration Type: Dentist License
License Number: 60767 Primary Status: Current - Active
Address :
6569 N Riverside Dr #102-306
FRESNO CA 93722
FRESNO 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: NASSIRI, JUSTIN BIJAN
License/Registration Type: Dentist License
License Number: 102517 Primary Status: Current - Active
Address :
1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO COUNTY
