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Licensing details for: 65037

Name: BHAKTA, BHAVIK J

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1820 Fullerton Ave
Suite 227
CORONA CA 92881-3160
LOS ANGELES county
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Issuance Date

August 21, 2015

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
3:9:3 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 16850 Primary Status: Cancelled

Address :
770 Magnolia Ave Ste 1A
CORONA CA 92879-3121

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 15936 Primary Status: Expired

Address :
770 MAGNOLIA AVE STE 1A
CORONA CA 92879-3121

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 19528 Primary Status: Current - Active

Address :
1820 FULLERTON AVE, SUITE 227
CORONA CA 92881-3160

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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: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 19528 Primary Status: Current - Active

Address :
1820 FULLERTON AVE, SUITE 227
CORONA CA 92881-3160

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: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 16850 Primary Status: Cancelled

Address :
770 Magnolia Ave Ste 1A
CORONA CA 92879-3121

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: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 15936 Primary Status: Expired

Address :
770 MAGNOLIA AVE STE 1A
CORONA CA 92879-3121

Map

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