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Licensing details for: 59510

Name: PATEL, JALPA D

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

829 San Diego Ln
PLACENTIA CA 92870-6220
ORANGE county
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Practice Location

1380 W 6th St
Suite-103
CORONA CA 92882-3552
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Issuance Date

July 20, 2010

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
10:47:53 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: INLAND FAMILY DENTAL OFFICE, JALPA PATEL DDS

License/Registration Type: Fictitious Name Permit

License Number: 12931 Primary Status: Current - Active

Address :
1380 WEST 6TH STREET, SUITE 103
CORONA CA 92882
RIVERSIDE 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: INLAND FAMILY DENTAL OFFICE, JALPA PATEL DDS

License/Registration Type: Fictitious Name Permit

License Number: 12931 Primary Status: Current - Active

Address :
1380 WEST 6TH STREET, SUITE 103
CORONA CA 92882
RIVERSIDE COUNTY

Map

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