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Licensing details for: 9080

Name: P.S. PATEL PROFESSIONAL DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: P.S. PATEL PROFESSIONAL DENTAL CORP

Address of Record

1222 MAGNOLIA AVE., STE. 101
CORONA CA 92881
RIVERSIDE county
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Issuance Date

July 15, 2006

Expiration Date

November 30, 2013

Current Date / Time

November 2, 2025
2:56:58 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, 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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