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Licensing details for: 6870

Name: PACIFICA DENTAL GROUP OF MOHDSAMEER ALJANEDI, DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Previous Names: PACIFIC DENTAL GROUP OF MOHDSAMEER ALJANEDI, DDS PACIFIC DENTAL GROUP

Address of Record

18821 DELAWARE ST.
STE. 101
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

May 20, 2007

Expiration Date

October 31, 2020

Current Date / Time

June 6, 2025
10:2:30 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AL-JANEDI, MOHDSAMEER Y.I.

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: AL-JANEDI, MOHDSAMEER Y.I.

License/Registration Type: Dentist License

License Number: 41577 Primary Status: Current - Active

Address :
4292 LINCOLN BLVD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY

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