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Licensing details for: 13942

Name: HILLCREST DENTAL STUDIO, DENTAL OFFICE OF KALYANI DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2130 GRAND AVE STE H
CHINO HILLS CA 91709
SAN BERNARDINO county
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Practice Location

2130 GRAND AVE STE H
CHINO HILLS CA 91709
SAN BERNARDINO county
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Issuance Date

December 21, 2017

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:14:53 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KALYANI, ASHINI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KALYANI, HARSH JAYESHBHAI

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: KALYANI, HARSH JAYESHBHAI

License/Registration Type: Dentist License

License Number: 64010 Primary Status: Current - Active

Address :
18589 Lakepointe Dr
RIVERSIDE CA 92503-0226
RIVERSIDE COUNTY

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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: KALYANI, ASHINI

License/Registration Type: Dentist License

License Number: 61744 Primary Status: Current - Active

Address :
17024 Van Buren Blvd
ste b
RIVERSIDE CA 92504-5938

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