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Licensing details for: 12421

Name: LAUREL VILLAGE SMILE DENTAL PRACTICE HAMID AMIRI, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LAUREL VILLAGE SMILE DENTAL DR HAMID AMIRI SMILE DENTAL PC LAUREL VILLAGE SMILE DENTAL LAUREL VILLAGE SMILE DENTAL PRACTICE

Address of Record

500 SPRUCE STREET, SUITE 200
SAN FRANCISCO CA 94118
SAN FRANCISCO county
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Issuance Date

October 1, 2015

Expiration Date

December 31, 2018

Current Date / Time

June 21, 2025
9:29:15 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AMIRI, HAMID

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: AMIRI, HAMID

License/Registration Type: Dentist License

License Number: 49268 Primary Status: Current - Active

Address :
8105 Edgewater Dr Ste 124
8105 EDGEWATER DR SUITE 124
OAKLAND CA 94621-2019

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