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Licensing details for: 48371

Name: SALEM, MAHMOUD MAHDY

License Type: Dentist

Primary Status: Current - Active

Address of Record

14614 Newburgh Rd
MORENO VALLEY CA 92555-5742
RIVERSIDE county
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Contract Location

14614 Newburgh Rd
MORENO VALLEY CA 92555-5742
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Practice Location

2585 W Florida Ave
HEMET CA 92545-4615
RIVERSIDE county
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Issuance Date

May 31, 2001

Expiration Date

February 28, 2027

Current Date / Time

December 13, 2025
7:54:49 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: HAITHAM ELGENDI DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 8938 Primary Status: Cancelled

Address :
2585 W. FLORIDA AVE.
HEMET CA 92545
RIVERSIDE 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: KIRBY AND FLORIDA DENTAL GROUP, HAITHAM ELGENDI DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 5393 Primary Status: Cancelled

Address :
2585 W FLORIDA AVE
HEMET CA 92545
RIVERSIDE COUNTY

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