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Licensing details for: 11609

Name: HEMANTKUMAR PATEL DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

24655 LA PLAZA
SUITE E
DANA POINT CA 92629
ORANGE county
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Practice Location

24655 LA PLAZA
SUITE E
DANA POINT CA 92629
ORANGE county
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Issuance Date

October 24, 2014

Expiration Date

July 31, 2016

Current Date / Time

November 3, 2025
7:9:32 PM

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, HEMANTKUMAR

License/Registration Type: Dentist License

License Number: 29647 Primary Status: Current - Active

Address :
615 N Benson Ave Ste F
UPLAND CA 91786-5076
SAN BERNARDINO COUNTY

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