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Licensing details for: 82947

Name: DHAVAL PATEL, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Walnut Creek Modern Dentistry, Prof. Corp.

Address of Record

2200 Oak Grove Road
WALNUT CREEK CA 94598
CONTRA COSTA county
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Issuance Date

June 17, 2026

Expiration Date

January 31, 2028

Current Date / Time

September 8, 2026
10:19:57 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: 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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