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Licensing details for: 17140

Name: UPLAND DENTAL AESTHETICS DENTAL PRACTICE BY DR. GEWAID

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: UPLAND DENTAL AESTHETICS AND ORTHODONTICS

Address of Record

470 N. 3RD AVE.
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

470 N. 3RD AVE.
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

May 11, 2022

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
10:0:27 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GEWAID, SHENOUDA FATHY

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: GEWAID, SHENOUDA FATHY

License/Registration Type: Dentist License

License Number: 49753 Primary Status: Current - Active

Address :
470 N 3rd Ave
UPLAND CA 91786-4703
SAN BERNARDINO COUNTY

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