
Dental Board of California
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
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: 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
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
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