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Licensing details for: 565

Name: PATEL, VIJAYKUMAR BHANUBHAI

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

601 E FOOTHILL BLVD
CLAREMONT CA 91711
LOS ANGELES county
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Issuance Date

July 31, 2007

Expiration Date

February 16, 2018

Current Date / Time

November 3, 2025
6:59:31 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: PATEL, VIJAYKUMAR BHANUBHAI

License/Registration Type: Dentist License

License Number: 36595 Primary Status: Current - Active

Address :
601 E Foothill Blvd
CLAREMONT CA 91711-3512
LOS ANGELES COUNTY

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