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Licensing details for: 82405

Name: DHAVAL PATEL, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: South River Dental Group, Inc.

Address of Record

2455 Jefferson Blvd Ste 130
WEST SACRAMENTO CA 95691
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Issuance Date

October 15, 2025

Expiration Date

January 31, 2027

Current Date / Time

December 17, 2025
7:27:27 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, DHAVAL RAMAN

License/Registration Type: Dentist License

License Number: 54297 Primary Status: Current - Active

Address :
10357 Fairway Dr
Ste 100
ROSEVILLE CA 95678-3544
PLACER COUNTY

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