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Licensing details for: 63342

Name: AMIN, MITUL A

License Type: Dentist

Primary Status: Expired Primary Status Definition

Method of Application: Licensure by WREB

Address of Record

1272 Franklin Quail Pl
EL PASO TX 79912-7706
EL PASO county
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Issuance Date

April 4, 2014

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
2:51:48 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: KAVITA SALVI AMIN DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 79380 Primary Status: Cancelled

Address :
828 WEST 6TH ST
CORONA CA 92882
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SALVI FAMILY DENTAL, DENTAL OFFICE OF KAVITA SALVI AMIN DDS. INC.

License/Registration Type: Fictitious Name Permit

License Number: 13542 Primary Status: Cancelled

Address :
828 WEST 6TH ST
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: SALVI FAMILY DENTAL, DENTAL OFFICE OF KAVITA SALVI AMIN DDS. INC.

License/Registration Type: Fictitious Name Permit

License Number: 13542 Primary Status: Cancelled

Address :
828 WEST 6TH ST
CORONA CA 92882
RIVERSIDE COUNTY

Map

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