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Licensing details for: 5170

Name: APEX DENTAL OFFICE, PURVI SHAH, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

805 WALES DR, STE 3
FOLSOM CA 95630
SACRAMENTO county
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Issuance Date

September 8, 2004

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
9:54:57 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAH, PURVI MANHAR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAH, PURVI

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, PURVI MANHAR

License/Registration Type: Dentist License

License Number: 44257 Primary Status: Current - Active

Address :
805 WALES DR, STE 3
FOLSOM CA 95630
SACRAMENTO COUNTY

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