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Licensing details for: 14415

Name: EL CENTRO DENTAL, OFFICE OF SIMAN DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1111 SOUTH FOURTH ST
EL CENTRO CA 92243
IMPERIAL county
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Practice Location

1111 SOUTH FOURTH ST
EL CENTRO CA 92243
IMPERIAL county
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Issuance Date

August 16, 2018

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:53:9 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SIMAN, EDDIE

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: SIMAN, EDDIE

License/Registration Type: Dentist License

License Number: 36834 Primary Status: Current - Active

Address :
14629 VENTURA BLVD
SHERMAN OAKS CA 91423
LOS ANGELES COUNTY

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