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Licensing details for: 402

Name: EISSA, KHALED

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Previous Names: EISSA, KHALED MOHAMED

Practice Location

24865 HOSPITALITY PLACE STE F
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

March 15, 2024

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
2:8:13 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DELMAR DENTAL GROUP, OFFICE OF DR. KHALED EISSA & DR. HASSAN DAOUD

License/Registration Type: Fictitious Name Permit

License Number: 13685 Primary Status: Cancelled

Address :
1010 E VISTA WAY
VISTA CA 92084
SAN DIEGO COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: EISSA, KHALED

License/Registration Type: Dentist License

License Number: 59237 Primary Status: Current - Active

Address :
38157 Hampton Ct
MURRIETA CA 92563-0303
RIVERSIDE COUNTY

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