Dental Board of California
Licensing details for: 18902
Name: SACRAMENTO BRACES AND WISDOM TEETH. DENTAL GROUP OF GHANOUNI YASHARI DENTAL CORP
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: GHANOUNI, SEPAND
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: YASHARI, SIMON
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: GHANOUNI, SEPAND
License/Registration Type: Dentist License
License Number: 64072 Primary Status: Current - Active
Address :
1737 PROFESSIONAL DR
SACRAMENTO CA 95825
SACRAMENTO 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: YASHARI, SIMON
License/Registration Type: Dentist License
License Number: 64413 Primary Status: Current - Active
Address :
1222 Colusa Ave
#H
YUBA CITY CA 95991-3656
SUTTER COUNTY
