Dental Board of California
Licensing details for: 9527
Name: ANTHEM DENTAL, DENTAL OFFICE OF H. IBRAHIM DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: ANTHEM DENTAL
License Relationships
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: ABRAHAM, HENRY
License/Registration Type: Dentist License
License Number: 54287 Primary Status: Current - Active
Address :
29049 Overland Dr Ste C
29049 Overland Dr Ste C
TEMECULA CA 92591-3637
