Dental Board of California
Licensing details for: 54570
Name: PATEL, KEYURKUMAR RATILAL
License Type: Dentist
Primary Status: Deceased
Address of Record
7211 Haven Ave
suite D
RANCHO CUCAMONGA CA 91701-6064
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: MR PATEL DDS, INC
License/Registration Type: Additional Office Permit
License Number: 12037 Primary Status: Current - Active
Address :
1530 W 6TH STREET
SUITE 105
CORONA CA 92882
RIVERSIDE COUNTY
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: KEYURKUMAR PATEL, DDS
License/Registration Type: Additional Office Permit
License Number: 10421 Primary Status: Cancelled
Address :
7211 HAVEN AVE STE D
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIXTH & SMITH DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL
License/Registration Type: Fictitious Name Permit
License Number: 12415 Primary Status: Current - Active
Address :
1530 W 6TH STREET, #105
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TERRA VISTA DENTAL CARE, DENTAL OFFICE OF KEYURKUMAR PATEL, DDS.
License/Registration Type: Fictitious Name Permit
License Number: 9288 Primary Status: Cancelled
Address :
7211 HAVEN AVENUE
STE. D
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TERRA VISTA DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL
License/Registration Type: Fictitious Name Permit
License Number: 12416 Primary Status: Current - Active
Address :
7211 HAVEN AVENUE, #D
RANCHO CUCAMONGA CA 91701
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: TERRA VISTA DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL
License/Registration Type: Fictitious Name Permit
License Number: 12416 Primary Status: Current - Active
Address :
7211 HAVEN AVENUE, #D
RANCHO CUCAMONGA CA 91701
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: TERRA VISTA DENTAL CARE, DENTAL OFFICE OF KEYURKUMAR PATEL, DDS.
License/Registration Type: Fictitious Name Permit
License Number: 9288 Primary Status: Cancelled
Address :
7211 HAVEN AVENUE
STE. D
RANCHO CUCAMONGA CA 91701
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: SIXTH & SMITH DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL
License/Registration Type: Fictitious Name Permit
License Number: 12415 Primary Status: Current - Active
Address :
1530 W 6TH STREET, #105
CORONA CA 92882
RIVERSIDE COUNTY
