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Licensing details for: 19251

Name: DEL OBISPO DENTAL SMILES DENTAL PRACTICE OF DR. SHALINI SHAH

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

31920 DEL OBISPO STE 160
SAN JUAN CAPISTRANO CA 92675
ORANGE county
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Practice Location

31920 DEL OBISPO STE 160
SAN JUAN CAPISTRANO CA 92675
ORANGE county
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Issuance Date

January 17, 2025

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
7:9:15 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAH, SHALINI M

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: SHAH, SHALINI M

License/Registration Type: Dentist License

License Number: 51304 Primary Status: Current - Active

Address :
5942 Edinger Ave Ste 101
HUNTINGTON BEACH CA 92649-1774
ORANGE COUNTY

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