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Licensing details for: 54560

Name: ABDELKARIM, MANAL KOUDSI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

7319 Milliken Ave Ste 110
RANCHO CUCAMONGA CA 91730-6704
SAN BERNARDINO county
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Issuance Date

July 11, 2006

Expiration Date

September 30, 2026

Current Date / Time

October 30, 2025
5:8:10 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: HSIEH AND ABDELKARIM DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79395 Primary Status: Current - Active

Address :
7319 MILLIKEN AVE STE 110
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO 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: RANCHO CUCAMONGA SMILES DENTISTRY DENTAL GROUP, HSIEH AND ABDELKARIM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13640 Primary Status: Current - Active

Address :
7319 MILLIKEN AVE STE 110
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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