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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

June 6, 2025
2:6:29 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEARL DENTAL CARE, DENTAL PRACTICE BY

License/Registration Type: Fictitious Name Permit

License Number: 3531 Primary Status: Cancelled

Address :
2407 VALLEY BLVD, STE C
POMONA CA 91768
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

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

License/Registration Type: Fictitious Name Permit

License Number: 8078 Primary Status: Current - Active

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

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEARL DENTAL CARE, DENTAL PRACTICE BY ISMAIL ELSHERIF,

License/Registration Type: Fictitious Name Permit

License Number: 5201 Primary Status: Cancelled

Address :
4980 BARRANCA PKWY, STE 203
IRVINE CA 92604
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEARL DENTAL CARE, DENTAL OFFICE OF DR. ISMAIL ELSHERIF, DDS, A P

License/Registration Type: Fictitious Name Permit

License Number: 7808 Primary Status: Cancelled

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

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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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