Dental Board of California
Licensing details for: 579
Name: TELLISSI, OUALID
License Type: Moderate Sedation Permit
Primary Status: Current - Active
Address of Record
72695 Highway 111
Suite A-8
PALM DESERT CA 92260-3320
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TELLISSI FAMILY DENTISTRY, DENTAL OFFICE OF O. TELLISSI DMD INC.
License/Registration Type: Fictitious Name Permit
License Number: 12015 Primary Status: Current - Active
Address :
72695 HIGHWAY 111, SUITE A-8
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: TELLISSI, OUALID
License/Registration Type: Dentist License
License Number: 62427 Primary Status: Current - Active
Address :
72695 HIGHWAY 11 STE A-8
PALM DESERT CA 92260
RIVERSIDE COUNTY
