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Licensing details for: 61072

Name: ALNATOUR, AHMAD M

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1620 AMBER LN
BRENTWOOD CA 94513
CONTRA COSTA county
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Issuance Date

December 22, 2011

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
2:50:40 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LONG BEACH ENDODONTICS DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19256 Primary Status: Current - Active

Address :
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804

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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: LONG BEACH ENDODONTICS DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19256 Primary Status: Current - Active

Address :
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804

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