Dental Board of California
Licensing details for: 62410
Name: SHAH, NIRAJ V
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE360 FAMILY DENTISTRY, SHAH NIRAJ & MEGHA DENTAL PRACTICE, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13904 Primary Status: Current - Active
Address :
9778 19TH ST
RANCHO CUCAMONGA CA 91737
SAN BERNARDINO 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: SMILE360 FAMILY DENTISTRY, SHAH NIRAJ & MEGHA DENTAL PRACTICE, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13904 Primary Status: Current - Active
Address :
9778 19TH ST
RANCHO CUCAMONGA CA 91737
SAN BERNARDINO COUNTY
