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| WEST BENGAL DENTAL COUNCIL Certificate of Registration under Dentist Act, 1948 ( XVI of 1948 ) This is to certify that the person named below has been registered as a Dentist under Section 33/34, of the Dentists Act, 1948, (XVI of 1948 ) |
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| Doctors Regd. No: | 7067-A | |||||
| Name: | SUMAN MAITI | |||||
| Son of: | SUDARSAN MAITI | |||||
| Date of Birth: | 24-May-1995 | |||||
| Sex: | Male | |||||
| Nationality: | INDIAN | |||||
| Residential Address: | VILL.BAGBERIA, P.O. & P.S.SABANG, DIST.PASCHIM MEDINIPUR, W.B., PIN-721144 | |||||
| Date of 1st Admission in to the Register: | 21-Dec-2020 | |||||
| Qualification for Registration: | BDS | |||||
| College / University: | KALINGA INSTITUTE OF INDUSTRIAL TECHNOLOGY (DEEMED TO BE UNIVERSITY), BHUBA | |||||
| Certificate valid till: | 31-Dec-2021 | |||||
| Date of Degree Or Diploma in Dentistry: | 2020 | |||||
| Additional Qualification- 1: | ||||||
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| Date of Degree Or Diploma in Dentistry: | ||||||
| Additional Qualification- 2: | ||||||
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| Photo: |  | |||||