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Licensing details for: 5468

Name: AMSALE B DEMISSIE, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

1781 N WATERMAN AVE
SAN BERNARDINO CA 92410
SAN BERNARDINO county
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Issuance Date

May 8, 1995

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
8:38:57 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: BERHANU-DEMISSIE, AMSALE

License/Registration Type: Dentist License

License Number: 30174 Primary Status: Current - Active

Address :
471 N San Gorgonio Ave
BANNING CA 92220-5523
RIVERSIDE COUNTY

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