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Licensing details for: 11102

Name: S. GEWAID DDS, PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

121 W. FOOTHILL BLVD.
SUITE E
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

121 W. FOOTHILL BLVD.
SUITE E
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

May 24, 2013

Expiration Date

August 31, 2022

Current Date / Time

June 6, 2025
8:45:48 PM

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: GEWAID, SHENOUDA FATHY

License/Registration Type: Dentist License

License Number: 49753 Primary Status: Current - Active

Address :
470 N 3rd Ave
UPLAND CA 91786-4703
SAN BERNARDINO COUNTY

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