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Licensing details for: 65077

Name: PATEL, CHANDNI HITESH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3470 Wilshire Blvd Ste 450
LOS ANGELES CA 90010-3946
LOS ANGELES county
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Issuance Date

September 1, 2015

Expiration Date

June 30, 2028

Current Date / Time

September 8, 2026
8:42:02 AM

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: PATEL AND HUSS DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80145 Primary Status: Current - Active

Address :
5784 LINDERO CANYON ROAD, SUITE B
WESTLAKE VILLAGE CA 91362
VENTURA 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: LINDERO CANYON DENTAL GROUP PATEL AND HUSS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15095 Primary Status: Current - Active

Address :
5784 LINDERO CANYON ROAD, SUITE B
THOUSAND OAKS CA 91362
VENTURA COUNTY

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