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Licensing details for: 9534

Name: UDAY NANDLAL SHAH, DDS, A PROF. DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Organization Classification: CorporationPrimary Status Definition

Previous Names: UDAY N SHAH

Address of Record

2838 HAMNER AVE.
NORCO CA 92860
RIVERSIDE county
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Issuance Date

November 13, 2007

Expiration Date

September 30, 2017

Current Date / Time

June 7, 2025
10:43:34 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, UDAY N

License/Registration Type: Dentist License

License Number: 36426 Primary Status: Current - Active

Address :
14708 Pipeline Ave
Ste # A
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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