Dental Board of California
Licensing details for: 12957
Name: COOLEY RANCH DENTAL GROUP DENTAL OFFICE OF DR. VIJAY PATEL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
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
