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Licensing details for: 12415

Name: SIXTH & SMITH DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: SIXTH AND SMITH DENTAL CARE DENTAL OFFICE OF DR. KEYURKUMAR PATEL

Address of Record

1530 W 6TH STREET, #105
CORONA CA 92882
RIVERSIDE county
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Issuance Date

September 25, 2015

Expiration Date

September 30, 2025

Current Date / Time

December 13, 2025
7:52:50 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, KEYURKUMAR RATILAL

License/Registration Type: Dentist License

License Number: 54570 Primary Status: Deceased

Address :
7211 Haven Ave
suite D
RANCHO CUCAMONGA CA 91701-6064
SAN BERNARDINO COUNTY

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