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Licensing details for: 14786

Name: ALL SMILE DENTAL GROUP OF DR. POURSHIRAZI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2015 N WATERMAN AVE STE B
SAN BERNARDINO CA 92404
SAN BERNARDINO county
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Practice Location

2015 N WATERMAN AVE STE B
SAN BERNARDINO CA 92404
SAN BERNARDINO county
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Issuance Date

February 1, 2019

Expiration Date

January 31, 2022

Current Date / Time

April 2, 2026
11:34:05 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: POURSHIRAZI, HOMAYOUN

License/Registration Type: Dentist License

License Number: 44064 Primary Status: Current - Active

Address :
27192 Newport Rd
SUITE 2
MENIFEE CA 92584-7387
RIVERSIDE COUNTY

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