Dental Board of California
Licensing details for: 5592
Name: DESERT DENTAL GROUP, TARIQ H ALSAMAAN, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
945 ARMORY RD, STE C
BARSTOW CA 92311
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALSAMAAN, TARIQ HAFEZ
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: ALSAMAAN, TARIQ HAFEZ
License/Registration Type: Dentist License
License Number: 50884 Primary Status: Current - Active
Address :
607 W CHANNEL ISLAND BLVD
PORT HUENEME CA 93041
VENTURA COUNTY
