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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 )
Doctors Regd. No:  99-H
Name:  SANJAY MODAK
Son of:  LT. BISWANATH MODAK
Date of Birth:  27-Nov-1975
Sex:  Male
Nationality:  INDIAN
Residential Address:  KATWA CIRCUS MAIDAN, RISHI AUROBINDOPALLY ROAD, P.O & P.S-KATWA, DIST-PURBO BARDHAMAN, PIN-713130.
Date of 1st Admission in to the Register:  09-Jun-2022
Qualification for Registration:  DENTAL HYGIENIST DIPLOMA COURSE
College / University:  MAITRI COLLEGE OF DENTISTRY & RESEARCH CENTRE
Date of Degree Or Diploma in Dentistry:  2022
Additional Qualification- 1: 
College / University: 
Date of Degree Or Diploma in Dentistry: 
Additional Qualification- 2: 
College / University: 
Date of Degree Or Diploma in Dentistry: 
Remarks: 
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