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Licensing details for: 10421

Name: KEYURKUMAR PATEL, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: PATEL KEYURKUMAR RATILAL

Address of Record

7211 HAVEN AVE STE D
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO county
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Practice Location

7211 HAVEN AVE STE D
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO county
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Issuance Date

March 1, 2011

Expiration Date

September 30, 2011

Current Date / Time

June 6, 2025
2:22:10 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: PATEL, KEYURKUMAR RATILAL

License/Registration Type: Dentist License

License Number: 54570 Primary Status: Deceased

Address :
7211 Haven Ave
suite D
RANCHO CUCAMONGA CA 91701-6064
SAN BERNARDINO COUNTY

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