Dental Board of California
Licensing details for: 1640
Name: MORENO VALLEY DENTAL GROUP OF DR D PATEL
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Address of Record
14940 PERRIS BLVD STE C
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PATEL, DIPTI MINESH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PATEL, DIPTI
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, DIPTI MINESH
License/Registration Type: Dentist License
License Number: 43231 Primary Status: Current - Active
Address :
14940 Perris Blvd Ste C
MORENO VALLEY CA 92553-7182
RIVERSIDE COUNTY
