Dental Board of California
Licensing details for: 4400
Name: WESTPARK FAMILY DENTAL OFFICE, PATEL & SHAH DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2413 W 17TH ST
SANTA ANA CA 92706
ORANGE 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, KIRAN KANTILAL
License/Registration Type: Dentist License
License Number: 48014 Primary Status: Current - Active
Address :
14031 Huntervale Dr
EASTVALE CA 92880-3804
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: 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, 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
