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Licensing details for: 2485

Name: JUGAL K. GUPTA DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

3065-B S ARCHIBALD AVENUE
ONTARIO CA 91761
SAN BERNARDINO county
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Issuance Date

September 2, 1999

Expiration Date

October 31, 2000

Current Date / Time

April 5, 2026
11:44:53 AM

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: GUPTA, JUGAL KISHORE

License/Registration Type: Dentist License

License Number: 36370 Primary Status: Current - Active

Address :
11623 CHERRY AVENUE, STE B-2
FONTANA CA 92337
SAN BERNARDINO COUNTY

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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: BHAGAT, RAJIV

License/Registration Type: Dentist License

License Number: 35471 Primary Status: Current - Active

Address :
770 Magnolia Ave
Suite 1-J
CORONA CA 92879-3120
RIVERSIDE COUNTY

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