Dental Board of California
Licensing details for: 13233
Name: GROVEHILL DENTAL GROUP RUPAL SHAH, DDS
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PANNU, DALVIR SINGH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAH, RUPAL NIRAV
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: SHAH, RUPAL NIRAV
License/Registration Type: Dentist License
License Number: 58658 Primary Status: Current - Active
Address :
4658 MacBeth Ct
FREMONT CA 94555-2034
ALAMEDA COUNTY
