Dental Board of California
Licensing details for: 9117
Name: S WATERMAN DENTISTRY, DENTAL OFFICE OF DR. MOHAMMED A. KHASRU
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Previous Names: S WATERMAN DENTISTRY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHASRU, MOHAMMED AMIR
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: KHASRU, MOHAMMED AMIR
License/Registration Type: Dentist License
License Number: 48479 Primary Status: Current - Active
Address :
260 W Foothill Blvd
RIALTO CA 92376-5048
