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Licensing details for: 10764

Name: SOUTH GATE DENTAL CENTER, DENTAL OFFICE OF ADIL AL-HASHIMI DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: SOUTH GATE DENTAL CENTER

Address of Record

2711 SANTA ANA STREET
SOUTH GATE CA 90280
LOS ANGELES county
Map

Practice Location

2711 SANTA ANA STREET
SOUTH GATE CA 90280
LOS ANGELES county
Map

Issuance Date

September 17, 2013

Expiration Date

July 31, 2016

Current Date / Time

June 6, 2025
10:18:42 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AL-HASHIMI, ADIL HADI

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: AL-HASHIMI, ADIL HADI

License/Registration Type: Dentist License

License Number: 59837 Primary Status: Current - Active

Address Not Disclosed

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