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Licensing details for: 15234

Name: VALLEY FAIR FAMILY AND COSMETIC DENTISTRY THE DENTAL OFFICE OF DR. SWATHI UPADHYAYA

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

373 S. MONROE ST., STE #102
SAN JOSE CA 95128
SANTA CLARA county
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Practice Location

373 S. MONROE ST., STE #102
SAN JOSE CA 95128
SANTA CLARA county
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Issuance Date

August 8, 2019

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
7:2:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: UPADHYAYA, SWATHI

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: UPADHYAYA, SWATHI

License/Registration Type: Dentist License

License Number: 55052 Primary Status: Current - Active

Address :
2680
S.WHIITE RD #100
SAN JOSE CA 95148
SANTA CLARA COUNTY

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