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Licensing details for: 17721

Name: NORCO HILLS ADVANCED DENTISTRY DENTAL PRACTICE OF ELGENDI DDS CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: ELGENDI DDS CORPORATION NORCO HILLS ADVANCED DENTISTRY NORCO HILLS ADVANCED

Address of Record

1161 HIDDEN VALLEY PKWY STE 106
NORCO CA 92860
RIVERSIDE county
Map

Practice Location

1161 HIDDEN VALLEY PKWY STE 106
NORCO CA 92860
RIVERSIDE county
Map

Issuance Date

March 21, 2023

Expiration Date

March 31, 2024

Current Date / Time

June 7, 2025
11:0:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELGENDI, HAITHAM HAMZA

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: ELGENDI, HAITHAM HAMZA

License/Registration Type: Dentist License

License Number: 46787 Primary Status: Current - Active

Address Not Disclosed

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