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Licensing details for: 55640

Name: UPPAL, GAGAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

360 S. Glendora Ave #1
WEST COVINA CA 91790
LOS ANGELES county
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Issuance Date

April 26, 2007

Expiration Date

December 31, 2025

Current Date / Time

June 22, 2025
2:18:22 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: GAGAN UPPAL DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 80035 Primary Status: Cancelled

Address :
360 S GLENDORA AVE, UNIT 1
WEST COVINA CA 91790
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALTON IMPLANT CENTER & DENTISTRY, GAGAN UPPAL DDS CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10244 Primary Status: Expired

Address :
5405 ALTON PARKWAY, STE. F
IRVINE CA 92604
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: APEX IMPLANT CENTER & DENTISTRY DENTAL OFFICE OF UPPAL DENTAL GROUP, INC.

License/Registration Type: Fictitious Name Permit

License Number: 14854 Primary Status: Expired

Address :
360 S GLENDORA AVE, UNIT 1
WEST COVINA CA 91790
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VERMONT FAMILY DENTISTRY, DENTAL OFFICE OF UPPAL DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 9126 Primary Status: Cancelled

Address :
1014 N VERMONT AVENUE
LOS ANGELES CA 90029
LOS ANGELES 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: ALTON IMPLANT CENTER & DENTISTRY, GAGAN UPPAL DDS CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10244 Primary Status: Expired

Address :
5405 ALTON PARKWAY, STE. F
IRVINE CA 92604
ORANGE 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: APEX IMPLANT CENTER & DENTISTRY DENTAL OFFICE OF UPPAL DENTAL GROUP, INC.

License/Registration Type: Fictitious Name Permit

License Number: 14854 Primary Status: Expired

Address :
360 S GLENDORA AVE, UNIT 1
WEST COVINA CA 91790
LOS ANGELES 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: VERMONT FAMILY DENTISTRY, DENTAL OFFICE OF UPPAL DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 9126 Primary Status: Cancelled

Address :
1014 N VERMONT AVENUE
LOS ANGELES CA 90029
LOS ANGELES COUNTY

Map

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