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Licensing details for: 82764

Name: SAMIR SHAH, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Dentists of Bakersfield and Bakersfield Kids' Dentistry, Inc.

Address of Record

1403 Allen Rd, Ste 1000
BAKERSFIELD CA 93314
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Issuance Date

March 26, 2026

Expiration Date

December 31, 2026

Current Date / Time

April 4, 2026
1:40:33 AM

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, SAMIR KISHORE

License/Registration Type: Dentist License

License Number: 63137 Primary Status: Current - Active

Address :
21001 SHERMAN WY
STE 13
CANOGA PARK CA 91303
LOS ANGELES COUNTY

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