Dental Board of California
Licensing details for: 12667
Name: SHAH BHAGAT & UPPAL A PROFESSIONAL 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: BHAGAT, RAJIV
License/Registration Type: Dentist License
License Number: 35471 Primary Status: Current - Active
Address :
770 Magnolia Ave
Suite 1-J
CORONA CA 92879-3120
RIVERSIDE COUNTY
