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Licensing details for: 81495

Name: MUSSIE SIBHATU DDS, A DENTAL CORPORATION, DBA OAKLAND SMILE DENTISTRY

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

3626 MACARTHUR BLVD
OAKLAND CA 94619
ALAMEDA county
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Practice Location

3626 MACARTHUR BLVD
OAKLAND CA 94619
ALAMEDA county
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Issuance Date

April 13, 2023

Expiration Date

September 30, 2024

Current Date / Time

April 3, 2026
7:30:13 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: SIBHATU, MUSSIE TEKLE

License/Registration Type: Dentist License

License Number: 59276 Primary Status: Current - Active

Address :
3630 MacArthur Blvd
OAKLAND CA 94619-1328
ALAMEDA COUNTY

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