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Licensing details for: 80244

Name: P.S. PATEL PROFESSIONAL DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1230 E. ARROW HWY
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

1230 E. ARROW HWY
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

August 21, 2019

Expiration Date

November 30, 2025

Current Date / Time

November 1, 2025
1:38:7 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, PARAG S

License/Registration Type: Dentist License

License Number: 38728 Primary Status: Current - Active

Address :
1136 Canyon Dr
UPLAND CA 91784-1011
SAN BERNARDINO COUNTY

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