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Licensing details for: 8078

Name: CYPRESS DENTAL, DENTAL OFFICE OF DR. ELSHERIF, DDS, A PROF. CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4550 LARK ELLEN AVENUE #104
COVINA CA 91722
LOS ANGELES county
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Practice Location

4550 LARK ELLEN AVENUE #104
COVINA CA 91722
LOS ANGELES county
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Issuance Date

April 14, 2009

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
9:12:44 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELSHERIF, ISMAIL IBRAHIM

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: ELSHERIF, ISMAIL IBRAHIM

License/Registration Type: Dentist License

License Number: 47883 Primary Status: Current - Active

Address :
4550 LARK ELLEN AVE
#104
COVINA CA 91722
LOS ANGELES COUNTY

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