Dental Board of California
Licensing details for: 61648
Name: Kedia, Rupali
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: GUPTA, RUPALI
Address of Record
29114 N. West Hills Drive
VALENCIA CA 91354
LOS ANGELES 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: KEDIA AND WATANABE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80512 Primary Status: Current - Active
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HASLEY CANYON DENTAL GROUP KEDIA AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15680 Primary Status: Current - Active
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
LOS ANGELES 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: HASLEY CANYON DENTAL GROUP KEDIA AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15680 Primary Status: Current - Active
Address :
29655 THE OLD ROAD
CASTAIC CA 91384
LOS ANGELES COUNTY
