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Licensing details for: 47150

Name: SHAH, ANJU

License Type: Dentist

Primary Status: Current - Active

Address of Record

2205 Rusty Pump Rd
DIAMOND BAR CA 91765-3376
LOS ANGELES county
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Issuance Date

May 11, 2000

Expiration Date

June 30, 2027

Current Date / Time

April 5, 2026
4:47:14 PM

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: SHAH BHAGAT & UPPAL A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 7895 Primary Status: Cancelled

Address :
7360 CHERRY AVE
FONTANA CA 92336
SAN BERNARDINO 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: HERITAGE DENTAL CARE, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3117 Primary Status: Cancelled

Address :
7360 CHERRY AVENUE SUITE F340
FONTANA CA 92336
SAN BERNARDINO COUNTY

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