Dental Board of California
Licensing details for: 48014
Name: SHAH, KIRAN KANTILAL
License Type: Dentist
Primary Status: Current - Active
Previous Names: SHAH, KIRANKUMAR KANTILAL
Address of Record
14031 Huntervale Dr
EASTVALE CA 92880-3804
RIVERSIDE county
Map
License Relationships
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: WESTPARK FAMILY DENTAL OFFICE, PATEL & SHAH DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 4400 Primary Status: Cancelled
Address :
2413 W 17TH ST
SANTA ANA CA 92706
ORANGE 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: WESTPARK FAMILY DENTAL OFFICE, PATEL & SHAH
License/Registration Type: Fictitious Name Permit
License Number: 3960 Primary Status: Cancelled
Address :
2413 WEST 17TH ST
SANTA ANA CA 92706
ORANGE COUNTY



