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Licensing details for: 49268

Name: AMIRI, HAMID

License Type: Dentist

Primary Status: Current - Active

Address of Record

1036 Vallejo St
SAN FRANCISCO CA 94133
SAN FRANCISCO county
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Practice Location

8105 Edgewater Dr Ste 124
8105 EDGEWATER DR SUITE 124
OAKLAND CA 94621-2019
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Issuance Date

December 3, 2001

Expiration Date

December 31, 2026

Current Date / Time

June 22, 2025
1:39:27 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAUREL VILLAGE SMILE DENTAL PRACTICE HAMID AMIRI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 12421 Primary Status: Cancelled

Address :
500 SPRUCE STREET, SUITE 200
SAN FRANCISCO CA 94118
SAN FRANCISCO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: OAKLAND SMILE DENTAL, GROUP OF HAMID AMIRI DDS PC

License/Registration Type: Fictitious Name Permit

License Number: 9408 Primary Status: Current - Active

Address :
8105 EDGEWATER ROAD #124
OAKLAND CA 94621
ALAMEDA 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: LAUREL VILLAGE SMILE DENTAL PRACTICE HAMID AMIRI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 12421 Primary Status: Cancelled

Address :
500 SPRUCE STREET, SUITE 200
SAN FRANCISCO CA 94118
SAN FRANCISCO 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: OAKLAND SMILE DENTAL, GROUP OF HAMID AMIRI DDS PC

License/Registration Type: Fictitious Name Permit

License Number: 9408 Primary Status: Current - Active

Address :
8105 EDGEWATER ROAD #124
OAKLAND CA 94621
ALAMEDA COUNTY

Map

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