Dental Board of California
Licensing details for: 13904
Name: SMILE360 FAMILY DENTISTRY, SHAH NIRAJ & MEGHA DENTAL PRACTICE, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAH, NIRAJ V
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAH, MEGHA
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, MEGHA
License/Registration Type: Dentist License
License Number: 63398 Primary Status: Current - Active
Address :
9778 19th St
RANCHO CUCAMONGA CA 91737-3538
SAN BERNARDINO COUNTY
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, NIRAJ V
License/Registration Type: Dentist License
License Number: 62410 Primary Status: Current - Active
Address :
9778 19TH ST
ALTA LOMA CA 91737
SAN BERNARDINO COUNTY
