Dental Board of California
Licensing details for: 3328
Name: RIVERSIDE DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1485 UNIVERSITY AVENUE
RIVERSIDE CA 92507
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AMMAR, EMAD MAHMOUD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COMPEAN, CARLOS GUILLERMO
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: AMMAR, EMAD MAHMOUD
License/Registration Type: Dentist License
License Number: 39127 Primary Status: Current - Active
Address :
175 N Pennsylvania Ave Ste 5
GLENDORA CA 91741-3316
LOS ANGELES 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: COMPEAN, CARLOS GUILLERMO
License/Registration Type: Dentist License
License Number: 29127 Primary Status: Current - Active
Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES COUNTY
