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Licensing details for: 100674

Name: DEMIRDJI, MARIANNE C

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

320 Arden Ave
Suite 200
GLENDALE CA 91203-1128
LOS ANGELES county
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Practice Location

2700 Colorado Blvd
#263
EAGLE ROCK CA 90041
LOS ANGELES county
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320 Arden Ave
Suite 200
GLENDALE CA 91203-1128
LOS ANGELES county
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7199 Boulder Ave
Ste 5
HIGHLAND CA 92346
SAN BERNARDINO county
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Issuance Date

August 9, 2016

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
7:8:20 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SDORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 19359 Primary Status: Current - Active

Address :
7241 PALM AVE
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: SDORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 19359 Primary Status: Current - Active

Address :
7241 PALM AVE
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

Map

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