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Licensing details for: 12052

Name: VIJAYKUMAR B PATEL, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1636 WASHINGTON ST
COLTON CA 92324
SAN BERNARDINO county
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Practice Location

1636 WASHINGTON STREET
COLTON CA 92324
SAN BERNARDINO county
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Issuance Date

October 28, 2015

Expiration Date

March 31, 2020

Current Date / Time

November 3, 2025
7:1:20 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, 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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