Dental Board of California
Licensing details for: 6622
Name: SD ORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, IN
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
7199 BOULDER AVE.
STE. 5
HIGHLAND CA 92346
SAN BERNARDINO county
Map
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
