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Licensing details for: 16195

Name: SMILE MAKER IMPLANT AND GENERAL DENTISTRY OF DR. MOHAMED A. SOLIMAN DDS, DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

9015 BRUCEVILLE RD 130
ELK GROVE CA 95759
SACRAMENTO county
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Practice Location

9015 BRUCEVILLE RD 130
ELK GROVE CA 95759
SACRAMENTO county
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Issuance Date

December 23, 2020

Expiration Date

August 31, 2022

Current Date / Time

June 6, 2025
10:1:2 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SOLIMAN, MOHAMED A

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: SOLIMAN, MOHAMED A

License/Registration Type: Dentist License

License Number: 52002 Primary Status: Current - Active

Address :
9015 Bruceville Rd
130
ELK GROVE CA 95758

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