Dental Board of California
Licensing details for: 6104
Name: LEISURE DENTAL, DENTAL GROUP OF SALAMEH, YOUSEF & MOHSIN, DDS, IN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: LEISURE DENTAL CENTER
Address of Record
24102 EL TORO RD., STE. A
LAGUNA WOODS CA 92653
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SALAMEH, HUSAM HASAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAJ-YOUSEF, HAZEM MIZYED
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAHMOOD, MOHSIN RAZA
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: HAJ-YOUSEF, HAZEM MIZYED
License/Registration Type: Dentist License
License Number: 49328 Primary Status: Current - Active
Address :
3390 University Ave
650
RIVERSIDE CA 92501-3314
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: SALAMEH, HUSAM HASAN
License/Registration Type: Dentist License
License Number: 48370 Primary Status: Current - Active
Address :
3840 E Mandeville Pl
ORANGE CA 92867-2178
ORANGE 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: MAHMOOD, MOHSIN RAZA
License/Registration Type: Dentist License
License Number: 52424 Primary Status: Current - Active
Address :
1736 E 14th St
1736 E 14th Street
SAN LEANDRO CA 94577-4803
ALAMEDA COUNTY
