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Licensing details for: 11703

Name: SMILEWORLD DENTAL, PRACTICE OF BHAVINI SHELAT DDS INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4925 SISK RD STE A
SALIDA CA 95368
STANISLAUS county
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Practice Location

4925 SISK RD STE A
SALIDA CA 95368
STANISLAUS county
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Issuance Date

November 13, 2014

Expiration Date

June 30, 2027

Current Date / Time

June 7, 2025
4:0:47 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHELAT, BHAVINI HARISH

Address Not Disclosed

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: SHELAT, BHAVINI HARISH

License/Registration Type: Dentist License

License Number: 56738 Primary Status: Current - Active

Address :
4232 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY

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