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Licensing details for: 105047

Name: AMIN, SUMMAR SAMI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Previous Names: AMIN, SUMMAR S

Address of Record

609 S Iron Horse Ln
ANAHEIM CA 92807-4843
ORANGE county
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Issuance Date

July 20, 2020

Expiration Date

May 31, 2027

Current Date / Time

April 4, 2026
4:40:41 AM

License Relationships

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: Anaheim Hills Dental Group

License/Registration Type: Fictitious Name Permit

License Number: 20244 Primary Status: Current - Active

Address :
5731 E Santa Ana Canyon Rd, Ste A
ANAHEIM CA 92807

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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: My Kid's Dentist, Dental Group of Anaheim Hills Dental Group and My Kid's Dentist, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20285 Primary Status: Current - Active

Address :
5731 E Santa Ana Canyon Rd, Ste L
ANAHEIM CA 92807

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