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Licensing details for: 47868

Name: KADAKIA, SMITA SAMIT

License Type: Dentist

Primary Status: Current - Active

Previous Names: CHUDASAMA, SMITA PRAHLAD

Address of Record

1312 East Ontario Avenue
Suite # 102
CORONA CA 92881
RIVERSIDE county
Map

Issuance Date

November 3, 2000

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
4:7:41 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: DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79985 Primary Status: Cancelled

Address :
1312 E ONTARIO AVENUE #102
CORONA CA 92881
RIVERSIDE COUNTY

Map

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: DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81454 Primary Status: Current - Active

Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH CORONA DENTAL GROUP, DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17687 Primary Status: Current - Active

Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH CORONA DENTAL GROUP DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14822 Primary Status: Cancelled

Address :
1312 E ONTARIO AVE STE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

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: SOUTH CORONA DENTAL GROUP DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14822 Primary Status: Cancelled

Address :
1312 E ONTARIO AVE STE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

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: SOUTH CORONA DENTAL GROUP, DHAMA AND KADAKIA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17687 Primary Status: Current - Active

Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY

Map

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