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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: | 8267-A | |||||
| Name: | ASIF IMTIYAZ MOLLA | |||||
| Son of: | AMIR HOSSAIN MOLLA | |||||
| Date of Birth: | 10-Apr-1993 | |||||
| Sex: | Male | |||||
| Nationality: | INDIAN | |||||
| Residential Address: | BIPINPUR, MANKAR ROAD, BUDBUD, PURBA BARDHAMAN, WEST BENGAL-713403. | |||||
| Date of 1st Admission in to the Register: | 5-Dec-2022 | |||||
| Qualification for Registration: | BDS | |||||
| College / University: | RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA | |||||
| Certificate valid till: | 31-Dec-2023 | |||||
| Date of Degree Or Diploma in Dentistry: | 2017 | |||||
| Additional Qualification- 1: | MDS (ORAL & MAXILLOFACIAL SURGERY) | |||||
| College / University: | DR. RAM MANOHAR LOHIA AVADH UNIVERSITY) | |||||
| Date of Degree Or Diploma in Dentistry: | 2022 | |||||
| Additional Qualification- 2: | ||||||
| College / University: | ||||||
| Date of Degree Or Diploma in Dentistry: | ||||||
| Remarks: | ||||||
| Photo: |  | |||||