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Licensing details for: 79818

Name: SAHAWNEH DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

11738 CARMEL MOUNTAIN ROAD, STE 170
SAN DIEGO CA 92128
SAN DIEGO county
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Practice Location

11738 CARMEL MOUNTAIN ROAD, STE 170
SAN DIEGO CA 92128
SAN DIEGO county
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Issuance Date

September 26, 2018

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
7:20:35 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: SAHAWNEH, SHOROUQ SAMEER

License/Registration Type: Dentist License

License Number: 55643 Primary Status: Current - Active

Address :
2300 Harbor Blvd.
Suite H5
COSTA MESA CA 92626
ORANGE COUNTY

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