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Licensing details for: 63398

Name: SHAH, MEGHA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

12220 Lacebark Dr
RANCHO CUCAMONGA CA 91739-2702
SAN BERNARDINO county
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Practice Location

9778 19th St
RANCHO CUCAMONGA CA 91737-3538
SAN BERNARDINO county
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Issuance Date

May 8, 2014

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
2:29:59 AM

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

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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: 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

Map

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