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Licensing details for: 79634

Name: RUPAL SHAH DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

21471 FOOTHILL BLVD STE E
HAYWARD CA 94541
ALAMEDA county
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Practice Location

21471 FOOTHILL BLVD STE E
HAYWARD CA 94541
ALAMEDA county
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Issuance Date

April 6, 2018

Expiration Date

March 15, 2019

Current Date / Time

June 6, 2025
11:45:9 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: SHAH, RUPAL NIRAV

License/Registration Type: Dentist License

License Number: 58658 Primary Status: Current - Active

Address :
4658 MacBeth Ct
FREMONT CA 94555-2034
ALAMEDA 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: PANNU, DALVIR SINGH

License/Registration Type: Dentist License

License Number: 47148 Primary Status: Current - Active

Address :
2195 Silver View Ct
SAN JOSE CA 95138-2447
SANTA CLARA COUNTY

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