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Licensing details for: 30174

Name: BERHANU-DEMISSIE, AMSALE

License Type: Dentist

Primary Status: Current - Active

Previous Names: DEMISSIE, AMSALE BERHANU DEMISSIE, AMSALE BERHANU, AMSALE

Address of Record

471 N San Gorgonio Ave
BANNING CA 92220-5523
RIVERSIDE county
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Issuance Date

October 7, 1981

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
6:54:7 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: AMSALE B DEMISSIE, DDS

License/Registration Type: Additional Office Permit

License Number: 5468 Primary Status: Current - Active

Address :
1781 N WATERMAN AVE
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY

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