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Licensing details for: 12931

Name: INLAND FAMILY DENTAL OFFICE, JALPA PATEL DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1380 WEST 6TH STREET, SUITE 103
CORONA CA 92882
RIVERSIDE county
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Practice Location

1380 WEST 6TH STREET, SUITE 103
CORONA CA 92882
RIVERSIDE county
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Issuance Date

June 20, 2016

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
2:2:44 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PATEL, JALPA D

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: PATEL, JALPA D

License/Registration Type: Dentist License

License Number: 59510 Primary Status: Current - Active

Address :
1380 W 6th St
Suite-103
CORONA CA 92882-3552

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