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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: | 7108-A | |||||
| Name: | PALAK SANJAY KHAITAN | |||||
| Daughter of: | SANJAY KHAITAN | |||||
| Date of Birth: | 17-Dec-1995 | |||||
| Sex: | Female | |||||
| Nationality: | INDIAN | |||||
| Residential Address: | KHAITAN ELECTRICALS, 11 C.R ROAD, RANIGANJ, BARDHAMAN, WEST BENGAL-713347. | |||||
| Date of 1st Admission in to the Register: | 11-Jan-2021 | |||||
| Qualification for Registration: | BDS | |||||
| College / University: | KIIT UNIVERSITY | |||||
| Certificate valid till: | 31-Dec-2022 | |||||
| Date of Degree Or Diploma in Dentistry: | 2019 | |||||
| Additional Qualification- 1: | ||||||
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| Date of Degree Or Diploma in Dentistry: | ||||||
| Additional Qualification- 2: | ||||||
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