Dental Board of California
Licensing details for: 36426
Name: SHAH, UDAY N
License Type: Dentist
Primary Status: Current - Active
Address of Record
14708 Pipeline Ave
Ste # A
CHINO HILLS CA 91709
SAN BERNARDINO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: UDAY NANDLAL SHAH, DDS, A PROF. DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 9534 Primary Status: Cancelled
Address :
2838 HAMNER AVE.
NORCO CA 92860
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUNNY FAMILY DENTAL OFFICE OF DR UDAY SHAH
License/Registration Type: Fictitious Name Permit
License Number: 15046 Primary Status: Current - Active
Address :
14708 PIPELINE AVE. STE. A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SUNNY DENTAL OFFICE, UDAY N. SHAH, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7236 Primary Status: Cancelled
Address :
14708 PIPELINE AVE.
STE. A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TOWNGATE FAMILY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1072 Primary Status: Cancelled
Address :
DR UDAYN SHAH
12625 FREDERICK STREET STE F12
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SUNNY DENTAL OFFICE, UDAY N. SHAH, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7236 Primary Status: Cancelled
Address :
14708 PIPELINE AVE.
STE. A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: TOWNGATE FAMILY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1072 Primary Status: Cancelled
Address :
DR UDAYN SHAH
12625 FREDERICK STREET STE F12
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SUNNY FAMILY DENTAL OFFICE OF DR UDAY SHAH
License/Registration Type: Fictitious Name Permit
License Number: 15046 Primary Status: Current - Active
Address :
14708 PIPELINE AVE. STE. A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: CHACON, ESMERALDA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 456 Primary Status: Current - Active
Address Not Disclosed
