Dental Board of California
Licensing details for: 18615
Name: STEPHAN FAMILY DENTAL GROUP, A DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
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: STEPHAN, WALEED ASHAK
License/Registration Type: Dentist License
License Number: 43892 Primary Status: Current - Active
Address :
860 Jamacha rd # 201
860 Jamacha rd # 201
EL CAJON CA 92019
SAN DIEGO COUNTY
