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Licensing details for: 18353

Name: ELITE ENDODONTICS OF SAN FRANCISCO DENTAL PRACTICE OF DR. ELHAM SHADMEHR

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

595 BUCKINGHAM WAY #226
SAN FRANCISCO CA 94132
SAN FRANCISCO county
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Practice Location

595 BUCKINGHAM WAY #226
SAN FRANCISCO CA 94132
SAN FRANCISCO county
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Issuance Date

January 19, 2024

Expiration Date

March 31, 2026

Current Date / Time

June 21, 2025
9:32:28 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHADMEHR, ELHAM

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: SHADMEHR, ELHAM

License/Registration Type: Dentist License

License Number: 103356 Primary Status: Current - Active

Address :
595 Buckingham Way
226
SAN FRANCISCO CA 94132-1909
SAN FRANCISCO COUNTY

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