Dental Board of California
Licensing details for: 3340
Name: STADIUM DENTAL GROUP, VIJAY PATEL & ASSOCIATES
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: STADIUM DENTAL GROUP, VIJAY PATEL AN ASSOCIATES
Address of Record
11897 FOOTHILL BLVD, SUITE A
RANCHO CUCAMONGA CA 91730
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: 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
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, HEMANTKUMAR
License/Registration Type: Dentist License
License Number: 29647 Primary Status: Current - Active
Address :
615 N Benson Ave Ste F
UPLAND CA 91786-5076
SAN BERNARDINO 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: PATEL, PARAG S
License/Registration Type: Dentist License
License Number: 38728 Primary Status: Current - Active
Address :
1136 Canyon Dr
UPLAND CA 91784-1011
SAN BERNARDINO COUNTY
