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Licensing details for: 11066

Name: DR. SAMAAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5203 LAKEWOOD BLVD
LAKEWOOD CA 90712
LOS ANGELES county
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Practice Location

5203 LAKEWOOD BLVD
LAKEWOOD CA 90712
LOS ANGELES county
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Issuance Date

May 15, 2013

Expiration Date

March 31, 2026

Current Date / Time

June 7, 2025
10:29:13 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: SAMAAN, EHAB S

License/Registration Type: Dentist License

License Number: 49798 Primary Status: Current - Active

Address :
2322 OLD HERITAGE RD
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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