Dental Board of California
Licensing details for: 5393
Name: KIRBY AND FLORIDA DENTAL GROUP, HAITHAM ELGENDI DENTAL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2585 W FLORIDA AVE
HEMET CA 92545
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SALEM, MAHMOUD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELGENDI, HAITHAM
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IBRAHIM, ESSAM
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IBRAHIM, ESSAM AHMED
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HASHEM, AYMAN ALY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HASHEM, AYMAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SALEM, MAHMOUD MAHDY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ELGENDI, HAITHAM HAMZA
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: HASHEM, AYMAN ALY
License/Registration Type: Dentist License
License Number: 47087 Primary Status: Current - Active
Address :
2585 W Florida Ave
HEMET CA 92545-4615
RIVERSIDE 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: ELGENDI, HAITHAM HAMZA
License/Registration Type: Dentist License
License Number: 46787 Primary Status: Current - Active
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: SALEM, MAHMOUD MAHDY
License/Registration Type: Dentist License
License Number: 48371 Primary Status: Current - Active
Address :
2585 W Florida Ave
HEMET CA 92545-4615
RIVERSIDE 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, ESSAM AHMED
License/Registration Type: Dentist License
License Number: 46830 Primary Status: Current - Active
Address :
5301 LOCHMOOR DR
RIVERSIDE CA 92507
RIVERSIDE COUNTY
