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Licensing details for: 58658

Name: SHAH, RUPAL NIRAV

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4658 MacBeth Ct
FREMONT CA 94555-2034
ALAMEDA county
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Issuance Date

August 10, 2009

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
10:4:14 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: RUPAL SHAH DDS INC

License/Registration Type: Additional Office Permit

License Number: 79634 Primary Status: Cancelled

Address :
21471 FOOTHILL BLVD STE E
HAYWARD CA 94541
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GROVEHILL DENTAL GROUP RUPAL SHAH, DDS

License/Registration Type: Fictitious Name Permit

License Number: 13233 Primary Status: Expired

Address :
21471 FOOTHILL BLVD, SUITE E
HAYWARD CA 94541
ALAMEDA 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: GROVEHILL DENTAL GROUP RUPAL SHAH, DDS

License/Registration Type: Fictitious Name Permit

License Number: 13233 Primary Status: Expired

Address :
21471 FOOTHILL BLVD, SUITE E
HAYWARD CA 94541
ALAMEDA COUNTY

Map

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