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Licensing details for: 423

Name: ELSHERIF, ISMAIL IBRAHIM

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

4550 N. LARK ELLEN AVE, #104
COVINA CA 91722
LOS ANGELES county
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Practice Location

4550 N. LARK ELLEN AVE #104
COVINA CA 91722
LOS ANGELES county
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Issuance Date

April 16, 2024

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
3:39:54 PM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special 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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