Dental Board of California
Licensing details for: 9553
Name: D'VINE DENTAL SPA, DENTAL OFFICE OF DR. TARIQ ALSAMAAN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: D'VINE DENTAL SPA
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ALSAMAAN, TARIQ HAFEZ
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: ALSAMAAN, TARIQ HAFEZ
License/Registration Type: Dentist License
License Number: 50884 Primary Status: Current - Active
Address :
607 W CHANNEL ISLAND BLVD
PORT HUENEME CA 93041
VENTURA COUNTY
