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Licensing details for: 48447

Name: DEMIRDJI, SAMUEL AGOP

License Type: Dentist

Primary Status: Current - Active

Address of Record

7241 Palm Ave
HIGHLAND CA 92346-3294
SAN BERNARDINO county
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Issuance Date

August 1, 2001

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
8:9:0 PM

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: SAMUEL A DEMIRDJI, DDS, MS, INC

License/Registration Type: Additional Office Permit

License Number: 9965 Primary Status: Cancelled

Address :
320 ARDEN AVENUE SUITE 200
HIGHLAND CA 91203
SAN BERNARDINO COUNTY

Map

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: SAMUEL A. DEMIRDJI DDS, MS, INC.

License/Registration Type: Additional Office Permit

License Number: 78953 Primary Status: Current - Active

Address :
320 Arden Ave
SUITE 200
GLENDALE CA 91203-1128
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SD ORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, IN

License/Registration Type: Fictitious Name Permit

License Number: 6622 Primary Status: Cancelled

Address :
7199 BOULDER AVE.
STE. 5
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SD ORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, IN

License/Registration Type: Fictitious Name Permit

License Number: 12573 Primary Status: Current - Active

Address :
320 ARDEN AVENUE, SUITE 200
GLENDALE CA 91203
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SDORTHODONTICS, DENTAL OFFICE OF SAMUEL A DEMIRDJI, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 5918 Primary Status: Cancelled

Address :
7199 BOULDER AVE, STE 5
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

Map

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

Map

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,

License/Registration Type: Fictitious Name Permit

License Number: 5918 Primary Status: Cancelled

Address :
7199 BOULDER AVE, STE 5
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

Map

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: SD ORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, IN

License/Registration Type: Fictitious Name Permit

License Number: 6622 Primary Status: Cancelled

Address :
7199 BOULDER AVE.
STE. 5
HIGHLAND CA 92346
SAN BERNARDINO COUNTY

Map

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

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: SD ORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, IN

License/Registration Type: Fictitious Name Permit

License Number: 12573 Primary Status: Current - Active

Address :
320 ARDEN AVENUE, SUITE 200
GLENDALE CA 91203
LOS ANGELES COUNTY

Map

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