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Licensing details for: 16850

Name: SUNSHINE DENTAL DENTAL OFFICE OF BHAVIK BHAKTA DDS INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: Bhavik Bhakta DDS Inc

Address of Record

770 Magnolia Ave Ste 1A
CORONA CA 92879-3121
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Practice Location

770 Magnolia Ave Ste 1A
CORONA CA 92879-3121
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Issuance Date

October 22, 2021

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
9:23:31 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BHAKTA, BHAVIK J

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: BHAKTA, BHAVIK J

License/Registration Type: Dentist License

License Number: 65037 Primary Status: Current - Active

Address :
1820 Fullerton Ave
Suite 227
CORONA CA 92881-3160
LOS ANGELES COUNTY

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