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Licensing details for: 54147

Name: HANA, ATEF EDWARD

License Type: Dentist

Primary Status: Current - Active

Address of Record

2836 W Rialto Ave
ste #A
RIALTO CA 92376-6816
SAN BERNARDINO county
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Practice Location

20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES county
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2836 w Rialto ave,
A
RIALTO CA 92376
SAN BERNARDINO county
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Issuance Date

January 24, 2006

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
9:32:10 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: ATEF E. HANA, D.D.S, INC.

License/Registration Type: Additional Office Permit

License Number: 80216 Primary Status: Current - Active

Address :
2836 W RIALTO AVE #A
RIALTO CA 92376
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ST. JOHN DENTAL, DENTAL OFFICE OF ATEF HANA DENTAL, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10454 Primary Status: Cancelled

Address :
20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ST JOHN DENTAL OFFICE OF ATEF HANA DENTAL INC

License/Registration Type: Fictitious Name Permit

License Number: 19220 Primary Status: Current - Active

Address :
20810 EAST ARROW HWY
COVINA CA 91724
LOS ANGELES 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: ST JOHN DENTAL OFFICE OF ATEF HANA DENTAL INC

License/Registration Type: Fictitious Name Permit

License Number: 19220 Primary Status: Current - Active

Address :
20810 EAST ARROW HWY
COVINA CA 91724
LOS ANGELES 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: ST. JOHN DENTAL, DENTAL OFFICE OF ATEF HANA DENTAL, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10454 Primary Status: Cancelled

Address :
20810 E Arrow Hwy
COVINA CA 91724-1319
LOS ANGELES COUNTY

Map

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