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Licensing details for: 5918

Name: SDORTHODONTICS, DENTAL OFFICE OF SAMUEL A DEMIRDJI, DDS,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

7199 BOULDER AVE, STE 5
HIGHLAND CA 92346
SAN BERNARDINO county
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Issuance Date

December 30, 2005

Expiration Date

April 30, 2007

Current Date / Time

June 6, 2025
9:55:43 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DEMIRDJI, SAMUEL AGOP

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: DEMIRDJI, SAMUEL AGOP

License/Registration Type: Dentist License

License Number: 48447 Primary Status: Current - Active

Address :
7241 Palm Ave
HIGHLAND CA 92346-3294
SAN BERNARDINO COUNTY

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