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Licensing details for: 101529

Name: GHAEMMAGHAMI, SAMAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

11540 Claridge Dr
RANCHO CUCAMONGA CA 91730-7244
LOS ANGELES county
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Issuance Date

July 9, 2017

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
3:10:30 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DREAM SMILE CITY OF SAN BERNARDINO DENTAL OFFICE OF DR. SAMAN GHAEMMAGHAMI D.M.D

License/Registration Type: Fictitious Name Permit

License Number: 17194 Primary Status: Expired

Address :
4016 UNIVERSITY PARKWAY
SAN BERNARDINO CA 92407
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: DREAM SMILE CITY OF SAN BERNARDINO DENTAL OFFICE OF DR. SAMAN GHAEMMAGHAMI D.M.D

License/Registration Type: Fictitious Name Permit

License Number: 17194 Primary Status: Expired

Address :
4016 UNIVERSITY PARKWAY
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY

Map

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