Dental Board of California
Licensing details for: 13901
Name: PARK PLACE SMILES, DENTAL PRACTICE OF MINAL PATEL DDS INC
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: PATEL, MINAL 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, MINAL D
License/Registration Type: Dentist License
License Number: 56634 Primary Status: Current - Active
Address :
641 W Route 66
GLENDORA CA 91740-4149
LOS ANGELES COUNTY
