 
                Dental Board of California
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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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
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



