Dental Board of California
Licensing details for: 11279
Name: GUPTA DENTAL OFFICE, GUPTA DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GUPTA, JUGAL KISHORE
License/Registration Type: Dentist License
License Number: 36370 Primary Status: Current - Active
Address :
11623 CHERRY AVENUE, STE B-2
FONTANA CA 92337
SAN BERNARDINO COUNTY
