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Licensing details for: 206

Name: SAM'S DENTAL HYGIENE PRACTICE OF

License Type: Registered Dental Fictitious Name Permit

Primary Status: Cancelled

Address of Record

SUMAYA AHMED
2160 CENTURY PARK EAST #1909
LOS ANGELES CA 90067
LOS ANGELES county
Map

Issuance Date

October 16, 2015

Expiration Date

September 30, 2019

Current Date / Time

June 7, 2025
1:35:53 PM

License Relationships

Fictitious Name Permit to Registered Dental Hygienist Alternative Practice

License/Registration Role: Fictitious Name Permit

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: SINGH, SUMAYA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 596 Primary Status: Current - Active

Address Not Disclosed

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