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Licensing details for: 12037

Name: MR PATEL DDS, INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Practice Location

1530 W 6TH STREET
SUITE 105
CORONA CA 92882
RIVERSIDE county
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Issuance Date

October 5, 2015

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
3:23:6 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, 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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