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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
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Issuance Date

August 1, 2012

Expiration Date

December 31, 2026

Current Date / Time

October 30, 2025
4:48:7 PM

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: RUPALI KEDIA, DDS

License/Registration Type: Additional Office Permit

License Number: 82400 Primary Status: Current - Active

Address :
755 W. Rancho Vista Blvd.
PALMDALE CA 93551

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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: Rupali Kedia, DDS

License/Registration Type: Additional Office Permit

License Number: 82266 Primary Status: Current - Active

Address :
16380 Village Way
SANTA CLARITA CA 91387

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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

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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: 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

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