Dental Board of California
Licensing details for: 7630
Name: FOREVER SMILES PEDIATRIC DENTISTRY & ORTHODONTICS, DENTAL GROUP O
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
641 W. ROUTE 66
STE. E
GLENDORA CA 91740
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SAFAR, OSSAMA MURAD
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: SAFAR, OSSAMA MURAD
License/Registration Type: Dentist License
License Number: 55303 Primary Status: Current - Active
Address :
7669 Belle Rose Cir
ROSEVILLE CA 95678-6049
PLACER COUNTY
