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Licensing details for: 80011

Name: KARIM EL NOKRASHY DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

740 W KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN county
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Practice Location

740 W KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN county
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Issuance Date

March 13, 2019

Expiration Date

March 31, 2027

Current Date / Time

June 7, 2025
10:18:4 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: ELNOKRASHY, KARIM AHMAD SAMY

License/Registration Type: Dentist License

License Number: 50906 Primary Status: Current - Active

Address :
1503 E March Ln
SUITE #B
STOCKTON CA 95210-5622
SAN JOAQUIN COUNTY

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