Dental Board of California
Licensing details for: 3501
Name: AMANA DENTAL GROUP, ELSEMARY DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
7275 EAST SOUTHGATE DR
SACRAMENTO CA 95823
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RIAD, MOHAMED E
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IBRAHIM, HAYTHAM SABRI
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELSEMARY, NAGY RAMADAN A
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELSEMARY, NAGY 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: ELSEMARY, NAGY RAMADAN A
License/Registration Type: Dentist License
License Number: 47882 Primary Status: Expired
Address :
7310 Cordially Way
ELK GROVE CA 95757-6219
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: RIAD, MOHAMED E
License/Registration Type: Dentist License
License Number: 48362 Primary Status: Current - Active
Address :
8112 Sheldon Rd Ste 100
ELK GROVE CA 95758-5913
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: IBRAHIM, HAYTHAM SABRI
License/Registration Type: Dentist License
License Number: 46011 Primary Status: Cancelled
Address :
3400 RIVERSPRAY CRESCENT
# 1708
MISSISSAUGA, ON 99 L4Y 3M5
Canada
