Dental Board of California
Licensing details for: 3856
Name: TEMECULA VALLEY FAMILY DENTAL PRACTICE,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
43057 MARGARITA #C101
TEMECULA CA 92592
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: AHMAD, MUHAMMAD FAROOQ
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: AHMAD, MUHAMMAD FAROOQ
License/Registration Type: Dentist License
License Number: 45080 Primary Status: Current - Active
Address :
1245 E VISTA WAY
VISTA CA 92084
SAN DIEGO COUNTY
