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Licensing details for: 5606

Name: BAY DENTAL CENTER, DENTAL OFFICE OF PATEL - PANDYA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

16910 S HAWTHORNE BLVD
LAWNDALE CA 90260
LOS ANGELES county
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Issuance Date

June 9, 2005

Expiration Date

September 30, 2009

Current Date / Time

November 2, 2025
2:58:58 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: PANDYA, SUNEN G

License/Registration Type: Dentist License

License Number: 50805 Primary Status: Current - Active

Address :
8014 Lower Sacramento Rd Ste B
STOCKTON CA 95210-3747
SAN JOAQUIN 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: 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

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