Dental Board of California
Licensing details for: 8625
Name: LEISURE DENTAL, DENTAL GROUP OF SALAMEH & MAHMOOD, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: LEISURE DENTAL DENTAL GROUP OF SALAMEH & MAHMOOD DDS INC
Address of Record
24102 EL TORO RD.
STE. A
LAGUNA HILLS 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 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
