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Licensing details for: 12942

Name: PATEL MONTCLAIR PLAZA DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

8660 Central Ave
MONTCLAIR CA 91763-1692
SAN BERNARDINO county
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Practice Location

8660 Central Ave
MONTCLAIR CA 91763-1692
SAN BERNARDINO county
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Issuance Date

June 27, 2016

Expiration Date

March 31, 2022

Current Date / Time

November 3, 2025
6:59:50 PM

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, VIJAYKUMAR BHANUBHAI

License/Registration Type: Dentist License

License Number: 36595 Primary Status: Current - Active

Address :
601 E Foothill Blvd
CLAREMONT CA 91711-3512
LOS ANGELES COUNTY

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