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Licensing details for: 46135

Name: SHAH, RAJESH MADHUSUDAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

205 Saint Tropez Ct
PLACENTIA CA 92870-5133
ORANGE county
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Issuance Date

May 19, 1999

Expiration Date

July 31, 2025

Current Date / Time

June 22, 2025
6:59:13 AM

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: RAJESH SHAH DDS

License/Registration Type: Additional Office Permit

License Number: 11641 Primary Status: Cancelled

Address :
1353 WEST MILL STREET
#114
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY

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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: RAJESH M SHAH DDS

License/Registration Type: Additional Office Permit

License Number: 11642 Primary Status: Cancelled

Address :
17024 VAN BUREN BLVD
#B
RIVERSIDE CA 92504
RIVERSIDE COUNTY

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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: MEHTA, PATEL & SHAH, A DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 8178 Primary Status: Cancelled

Address :
303 S DIAMOND BAR, BL, STE 133
DIAMOND BAR CA 91765
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MCKINLEY DENTISTRY, DENTAL OFFICE OF RAJESH SHAH, DDS AND DINESH

License/Registration Type: Fictitious Name Permit

License Number: 6353 Primary Status: Current - Active

Address :
115 MCKINLEY ST., STE. 105
CORONA CA 92879
RIVERSIDE COUNTY

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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: MCKINLEY DENTISTRY, DENTAL OFFICE OF RAJESH SHAH, DDS AND DINESH

License/Registration Type: Fictitious Name Permit

License Number: 6353 Primary Status: Current - Active

Address :
115 MCKINLEY ST., STE. 105
CORONA CA 92879
RIVERSIDE COUNTY

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