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Licensing details for: 7895

Name: SHAH BHAGAT & UPPAL A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SHAH, BHAGAT & UPPAL, A PROFESSIONAL DENTAL CORPORATION

Address of Record

7360 CHERRY AVE
FONTANA CA 92336
SAN BERNARDINO county
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Issuance Date

February 19, 2003

Expiration Date

January 31, 2017

Current Date / Time

April 5, 2026
3:03:16 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: BHAGAT, RAJIV

License/Registration Type: Dentist License

License Number: 35471 Primary Status: Current - Active

Address :
770 Magnolia Ave
Suite 1-J
CORONA CA 92879-3120
RIVERSIDE COUNTY

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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: UPPAL, BALJIT SINGH

License/Registration Type: Dentist License

License Number: 38235 Primary Status: Deceased

Address :
8163 E BAILEY WAY
ANAHEIM CA 92808
ORANGE COUNTY

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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: SHAH, ANJU

License/Registration Type: Dentist License

License Number: 47150 Primary Status: Current - Active

Address :
2205 Rusty Pump Rd
DIAMOND BAR CA 91765-3376
LOS ANGELES COUNTY

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