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Licensing details for: 61744

Name: KALYANI, ASHINI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: SHAH, ASHINI M

Address of Record

17586 DRY RUN CT.
RIVERSIDE CA 92504
RIVERSIDE county
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Practice Location

17024 Van Buren Blvd
ste b
RIVERSIDE CA 92504-5938
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Issuance Date

August 8, 2012

Expiration Date

April 30, 2026

Current Date / Time

June 6, 2025
11:8:42 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: KALYANI DDS INC

License/Registration Type: Additional Office Permit

License Number: 79574 Primary Status: Current - Active

Address :
2130 GRAND AVE STE H
CHINO HILLS CA 91709

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HILLCREST DENTAL STUDIO, DENTAL OFFICE OF KALYANI DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 13942 Primary Status: Current - Active

Address :
2130 GRAND AVE STE H
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WOODCREST DENTAL STUDIO, DENTAL OFFICE OF KALYANI DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 13943 Primary Status: Current - Active

Address :
17024 VAN BUREN BLVD STE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY

Map

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: HILLCREST DENTAL STUDIO, DENTAL OFFICE OF KALYANI DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 13942 Primary Status: Current - Active

Address :
2130 GRAND AVE STE H
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

Map

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: WOODCREST DENTAL STUDIO, DENTAL OFFICE OF KALYANI DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 13943 Primary Status: Current - Active

Address :
17024 VAN BUREN BLVD STE B
RIVERSIDE CA 92504
RIVERSIDE COUNTY

Map

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