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Licensing details for: 11727

Name: CALIFORNIA DENTAL CARE & ORTHODONTICS, A DENTAL GROUP OF P.S. PAT

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9275 BASELINE RD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Practice Location

9275 BASELINE RD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Issuance Date

November 26, 2014

Expiration Date

November 30, 2025

Current Date / Time

November 2, 2025
2:55:3 AM

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: 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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