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Licensing details for: 11736

Name: KIRBY AND FLORIDA DENTAL GROUP, IBRAHIM, HASHEM & SALEM DENTAL CO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2585 W FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE county
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Practice Location

2585 W FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE county
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Issuance Date

December 5, 2014

Expiration Date

January 31, 2028

Current Date / Time

December 13, 2025
2:0:46 PM

License Relationships

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: IBRAHIM, ESSAM AHMED

License/Registration Type: Dentist License

License Number: 46830 Primary Status: Current - Active

Address :
5301 LOCHMOOR DR
RIVERSIDE CA 92507
RIVERSIDE COUNTY

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