Dental Board of California
Licensing details for: 3117
Name: HERITAGE DENTAL CARE, DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
7360 CHERRY AVENUE SUITE F340
FONTANA CA 92336
SAN BERNARDINO county
Map
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: SHAH, ANJU
License/Registration Type: Dentist License
License Number: 47150 Primary Status: Current - Active
Address :
2205 Rusty Pump Rd
DIAMOND BAR CA 91765-3376
LOS ANGELES COUNTY
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
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: UPPAL, BALJIT SINGH
License/Registration Type: Dentist License
License Number: 38235 Primary Status: Deceased
Address :
8163 E BAILEY WAY
ANAHEIM CA 92808
ORANGE COUNTY
