Dental Board of California
Licensing details for: 6143
Name: CALIFORNIA SMILE DENTAL GROUP, DABBAGH AND ALTEIR DENTAL CORPORAT
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: CALIFORNIA SMILE DENTAL GROUP
Address of Record
10500 MAGNOLIA AVE.
STE. A1
STANTON CA 90680
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DABBAGH, MOUTAZ
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALTEIR, NIZAR MOHAMMAD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALTEIR, NIZAR
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: ALTEIR, NIZAR MOHAMMAD
License/Registration Type: Dentist License
License Number: 41339 Primary Status: Current - Active
Address :
8509 White Fish Cir
FOUNTAIN VALLEY CA 92708-5007
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: DABBAGH, MOUTAZ
License/Registration Type: Dentist License
License Number: 39783 Primary Status: Current - Active
Address :
2424 W BALL ROAD
STE L
ANAHEIM CA 92804
ORANGE COUNTY
