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Licensing details for: 1653

Name: MONTCLAIR PLAZA DENTAL GROUP, DR VIJAY PATEL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

5182 N MONTCLAIR PLAZA LANE
MONTCLAIR CA 91763
SAN BERNARDINO county
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Issuance Date

May 20, 1997

Expiration Date

March 31, 2004

Current Date / Time

November 3, 2025
7:1:21 PM

License Relationships

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, VIJAYKUMAR BHANUBHAI

License/Registration Type: Dentist License

License Number: 36595 Primary Status: Current - Active

Address :
601 E Foothill Blvd
CLAREMONT CA 91711-3512
LOS ANGELES COUNTY

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